| Gregory S Mellesmoen, CRNA | |
|
9645 Grove Cir N Ste 250, Maple Grove, MN 55369 | |
| (763) 201-8191 | |
| (763) 201-8192 |
| Full Name | Gregory S Mellesmoen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9645 Grove Cir N Ste 250, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689633919 | NPI | - | NPPES |
| 937843000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0779700 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S Mellesmoen, CRNA 9645 Grove Cir N Ste 250, Maple Grove, MN 55369-4466 Ph: (763) 201-8191 | Gregory S Mellesmoen, CRNA 9645 Grove Cir N Ste 250, Maple Grove, MN 55369 Ph: (763) 201-8191 |
Mrs. Kelly Rae Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9803 Vagabond Ln N, Maple Grove, MN 55311 Phone: 612-242-1341 | |
Jeffrey Merriam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 250, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 | |
Alison Marie Stanley, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9162 Sycamore Ln N, Maple Grove, MN 55369 Phone: 651-269-4820 |