Jeffrey Mendeloff
Vascular Surgeon
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
Jeffrey Mendeloff
Vascular Surgeon
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey Mendeloff
- 3800 Park Nicollet Blvd Credentialing
- St Louis Park, MN
- Zip : 55416-2527
- Phone :
Second Address
- Jeffrey Mendeloff
- 6500 Excelsior Blvd
- St Louis Park, MN
- Zip : 55426-4702
- Phone : (952) 993-3246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 42004 | MN |
National Provider Identifier
| NPI | 1043297203 |
|---|---|
| Provider Name | Jeffrey Mendeloff |
| First Address | St Louis Park, MN 55416-2527 |
| Second Address | St Louis Park, MN 55426-4702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 05/03/2012 |
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.