NPI 1083680458

Jonathan W Mellema, MD

Practitioner Otolaryngology Physician Willmar, MN

Practice location

Address: 1801 19th Ave SW, Willmar, MN 56201-4946
Phone: (320) 231-3277
Fax: (320) 214-5758

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 47540 (MN)

Other Otolaryngology providers in Minnesota →

Registry record

NPI: 1083680458
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2006
Record last updated: 10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.