Gregory S Mellesmoen, CRNA
Nurse Anesthetist, Certified Registered in Maple Grove, MN. Individual provider (NPI-1).
NPI number1689633919
StatusActive
Last updated in NPPESJun 13, 2018
Details
- NPI
- 1689633919
- Entity type
- Individual (NPI-1)
- Name
- Gregory S Mellesmoen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Last updated
- Jun 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0779700 | MN | Yes |
Practice location
9645 Grove Cir N Ste 250Maple Grove, MN 55369
Phone 763-201-8191 · Fax 763-201-8192
Mailing address
9645 Grove Cir N Ste 250Maple Grove, MN 55369-4466
Phone 763-201-8191 · Fax 763-201-8192
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Other Certified Registered Nurse Anesthetist providers in Maple Grove, MN
- Heidi Lucille Hendricks, CRNANPI 1366353310
- Jeffrey Merriam, CRNANPI 1487657847
- Kelly Rae Peterson, CRNANPI 1336424027
- Alison Marie StanleyNPI 1629965629
All 5 Certified Registered Nurse Anesthetist providers in Maple Grove · All 2,061 providers in Maple Grove
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