Individual
MELINDA MUTSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455
(612) 273-3000
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12855
MN
363A00000X
Physician Assistant
PA5945
MA
Other
Enumeration date
10/20/2016
Last updated
01/28/2019
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