Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 47172 | MN |
Y | 2080P0205X | Pediatric Endocrinologist | 47172 | MI |
NPI | 1124219043 |
---|---|
Provider Name | Dr. Melena Dawn Bellin |
First Address | Minneapolis, MN 55454-1450 |
Second Address | Minneapolis, MN 55454-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 19/05/2016 |