Individual
DR. CAROL LYNN MELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 241-9700
Mailing address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 241-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3585
IA
207R00000X
Internal Medicine Physician
41035021
WI
207R00000X
Internal Medicine Physician
Primary
46254
MN
207R00000X
Internal Medicine Physician
5101008552
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4479866
—
MN
Enumeration date
08/26/2005
Last updated
03/11/2021
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