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Individual

DR. LAURIE DRILL-MELLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
PO BOX 81, CHASKA, MN 55318-0081
(888) 398-3327

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34306
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019590
PREFERRED ONE
01
108039
UCARE
01
39-22638
MEDICA EMERG
01
3F717DR
BCBS
01
HP13191
HEALTH PARTNERS
Enumeration date
05/25/2006
Last updated
12/03/2007
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