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Contact Information

DOUGLAS N MELLINGER, DO
1200 6TH AVE N
SAINT CLOUD, MN56303-2736
 Phone: 320-656-7020
 Fax: 320-255-5943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOUGLAS N MELLINGER · (Male)

NPI # 1124131073
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/16/2006
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A8396
  • MN License # 68816
  • CA Medicaid 00AX83960
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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