KENT E MELLERSTIG

SANTA ROSA, CA
NPI1649253659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208200000X Plastic Surgery
(Licence: CA  G18760)
Enumeration Date2005-11-23
Last Update Date2011-10-04
Business Address
Dr. KENT E MELLERSTIG MD
1043 SLATE DR
SANTA ROSA, CA 95405-8841
Phone number: 707-527-7211
Mailing Address
Dr. KENT E MELLERSTIG MD
1043 SLATE DR
SANTA ROSA, CA 95405-8841
Phone number: 707-527-7211