Kent E Mellerstig in Santa Rosa - Plastic Surgery
Kent E Mellerstig - NPI 1649253659
Kent E Mellerstig is a Plastic Surgery in Santa Rosa, California. Kent E Mellerstig practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kent E Mellerstig is 1649253659. The last update date is 2011-10-04.
Kent E Mellerstig's current location address is 1043 Slate Dr, Santa Rosa, California. You can contact this provider via phone number 7075277211 and fax number 7075387044. The mailing address for Kent E Mellerstig is 1043 Slate Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent E Mellerstig |
|---|---|
| Address | 1043 Slate Dr, Santa Rosa, California |
| Phone Number | 7075277211 |
| Fax Number | 7075387044 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649253659 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 1043 Slate Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954058841 |
| Phone Number | 7075277211 |
| Fax Number | 7075387044 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | G18760 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Post Comment/ Review Below
What is the Kent E Mellerstig's unique identification number?
The Kent E Mellerstig has been assigned the NPI (National Provider Identifier) Number 1649253659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kent E Mellerstig is physically located?
The Kent E Mellerstig is situated at the following address: 1043 Slate Dr, Santa Rosa, CA 954058841.
What is the area of specialization for Kent E Mellerstig, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kent E Mellerstig is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649253659 to Kent E Mellerstig?
The Kent E Mellerstig received its 1649253659 assignment from the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date were the details related to Kent E Mellerstig most recently updated or revised?
The information pertaining to Kent E Mellerstig, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-04.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA