Dr. Douglas Neal Mellinger
Cardiothoracic Vascular Surgeon
1200 6th Ave N
Saint Cloud
, Minnesota 56303-2736
Dr. Douglas Neal Mellinger
Cardiothoracic Vascular Surgeon
1200 6th Ave N
Saint Cloud
, Minnesota 56303-2736
(320) 255-5943
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Douglas Neal Mellinger
- 1200 6th Ave N
- Saint Cloud, MN
- Zip : 56303-2736
- Fax : (320) 255-5943
- Phone : (320) 656-7020
Second Address
- Dr. Douglas Neal Mellinger
- 1200 6th Ave N
- Saint Cloud, MN
- Zip : 56303-2736
- Fax : (320) 255-5943
- Phone : (320) 656-7020
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Is Dr. Douglas Neal Mellinger a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208G00000X | Cardiothoracic Vascular Surgeon | 20A8396 | CA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 68816 | MN |
National Provider Identifier
| NPI | 1124131073 |
|---|---|
| Provider Name | Dr. Douglas Neal Mellinger |
| First Address | Saint Cloud, MN 56303-2736 |
| Second Address | Saint Cloud, MN 56303-2736 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 26/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX83960 | (05) | CA |
| I31970 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.