Dr. Mallory Jo Yelenich-Huss, M.D.
Surgery in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1144648643
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1144648643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mallory Jo Yelenich-Huss
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2014
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 67451 | MN | Yes |
Practice location
11850 Blackfoot St Nw Ste 1Coon Rapids, MN 55433-2578
Phone 763-236-9000
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-9000
Other practice locations
9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769
Maple Grove, MN 55369-4769
Phone 763-780-6699
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