Jonathan W Mellema in Willmar - Otolaryngology
Jonathan W Mellema - NPI 1083680458
Jonathan W Mellema is a Otolaryngology in Willmar, Minnesota. Jonathan W Mellema practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jonathan W Mellema is 1083680458. The last update date is 2021-06-22.
Jonathan W Mellema's current location address is 1801 19th Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202313277 and fax number 3202145758. The mailing address for Jonathan W Mellema is 1801 19th Ave Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan W Mellema |
|---|---|
| Address | 1801 19th Ave Sw, Willmar, Minnesota |
| Phone Number | 3202313277 |
| Fax Number | 3202145758 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083680458 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2021-06-22 |
Provider Mailing Address Detail
| Address | 1801 19th Ave Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562014946 |
| Phone Number | 3202313277 |
| Fax Number | 3202145758 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 47540 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 312128300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jonathan W Mellema by the Centers for Medicare & Medicaid Services?
The Jonathan W Mellema has been assigned the NPI (National Provider Identifier) 1083680458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jonathan W Mellema is physically located?
The Jonathan W Mellema is physically situated at the following address: 1801 19Th Ave Sw, Willmar, MN, 562014946.
What is Jonathan W Mellema's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan W Mellema's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083680458 to Jonathan W Mellema?
The Centers for Medicare & Medicaid Services originally issued the 1083680458 to Jonathan W Mellema on 2006-02-27.
When was the Jonathan W Mellema's information last updated?
The Jonathan W Mellema's information was last updated on 2021-06-22.