Organization directory

MARK S MELLSTROM, MD, PA fax numbers

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20157 ICENIC TRL, LAKEVILLE, MN, 55044-7708
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
MARK S MELLSTROM, MD, PA
NPI number
1639340409
Practice address
20157 ICENIC TRL, LAKEVILLE, MN, 55044-7708
Telephone
(952) 469-3393
Provider specialty
See registry classification 207Q00000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(952) 469-3399
NPI 1639340409

20157 ICENIC TRL, LAKEVILLE, MN, 55044-7708

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source