Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 44543 | MN |
Y | 207VX0201X | Gynecologic Oncologist | 44543 | MN |
NPI | 1265466809 |
---|---|
Provider Name | Dr. Melissa Ann Geller |
First Address | Minneapolis, MN 55414 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0143361 | (05) | MT |
0592162 | (05) | IA |
07-04401 | MEDICA CHOICE & PRIMARY (01) | MN |
1040013 | PREFERRED ONE (01) | MN |
136150 | UCARE (01) | MN |
2161398 | ARAZ (01) | MN |
34430100 | (05) | WI |
614R7GE | BCBS (01) | MN |
719482000 | (05) | MN |
H95998 | (02) | MN |
HP39697 | HEALTHPARTNERS (01) | MN |