Raymond J Mellema MD

NPI 1023084332 - Family Medicine - 207Q00000X

NPI Details
NPI 1023084332
Gender Male
Enumeration Date 02/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 WILLMAR AVE SW
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax (320) 231-5067
Business Location
101 WILLMAR AVE SW
WILLMAR MN, 56201, US
Phone (320) 231-5000
Fax (320) 231-5067
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 25459
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According to our database, Dr. Raymond J Mellema MD NPI is 1023084332, taxonomy code is 207Q00000X and license number is 25459, license state is located at Minnesota. Raymond J Mellema MD physically located at 101 Willmar Ave Sw, Willmar MN, 56201. NPI Number Raymond J Mellema MD has the Individual type.

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1023084332 NPI number is provided on an as is basis without warranty of any kind. 1023084332 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond J Mellema MD are for informational purposes only.