TIFFANY J MELLANG

ROSEVILLE, MN
NPI1083196927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  1146349)
Enumeration Date2018-09-06
Last Update Date2021-07-20
Business Address
TIFFANY J MELLANG
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113-3905
Phone number: 651-292-2000
Mailing Address
TIFFANY J MELLANG
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113-3905
Phone number: 651-292-2000
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