Search › Minnesota › 363A00000X
Mackenzie Mellum, PA
NPI 1699403543 · on the registry since 2022
Practice
- Address
- 21260 Chippendale Ave W
Farmington, MN 55024 - Phone
- (651) 463-7181
- Organisation at this address
- Allina Health System
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 4300 Marketpointe Dr Ste 100, Bloomington, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota