Gustave L Mellgren in Glenwood - Family Medicine
Gustave L Mellgren - NPI 1871562926
Gustave L Mellgren is a Family Medicine in Glenwood, Minnesota. Gustave L Mellgren practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gustave L Mellgren is 1871562926. The last update date is 2015-01-15.
Gustave L Mellgren's current location address is 10 4th Ave Se, Glenwood, Minnesota. You can contact this provider via phone number 3206345157 and fax number 3206342244. The mailing address for Gustave L Mellgren is 10 4th Ave Se, Glenwood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustave L Mellgren |
|---|---|
| Address | 10 4th Ave Se, Glenwood, Minnesota |
| Phone Number | 3206345157 |
| Fax Number | 3206342244 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871562926 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2015-01-15 |
Provider Mailing Address Detail
| Address | 10 4th Ave Se |
|---|---|
| City | Glenwood |
| State | Minnesota (MN) |
| Post Code | 563341820 |
| Phone Number | 3206345157 |
| Fax Number | 3206342244 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 47727 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26652300 | MN | -- | |
| 252P5ME | MN | BCBSMN | |
| 01-21958 | MN | MEDICA |
Post Comment/ Review Below
What is the unique identifier code issued to Gustave L Mellgren by the Centers for Medicare & Medicaid Services?
The Gustave L Mellgren has been assigned the NPI (National Provider Identifier) 1871562926. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gustave L Mellgren's physical address?
The Gustave L Mellgren is physically located at 10 4Th Ave Se, in the city of Glenwood, MN, with the postal code 563341820.
What is Gustave L Mellgren's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gustave L Mellgren's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Gustave L Mellgren receive its 1871562926 assignment from the Centers for Medicare & Medicaid Services?
The Gustave L Mellgren was assigned its 1871562926 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gustave L Mellgren most recently updated or revised?
The information pertaining to Gustave L Mellgren, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-15.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN