Gustave L Mellgren (NPI# 1871562926, PAC ID# 4082647615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871562926 |
| PAC ID by PECOS | 4082647615 |
| Professional Enrollment ID | I20050914001085 |
| Full Name | Gustave L Mellgren |
| Organization Legal Name | GLACIAL RIDGE HOSPITAL DISTRICT |
| Address |
417 Franklin St S Glenwood MN 56334-1518 |
| Phone Number | 3206345157 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294789194 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241376 | GLACIAL RIDGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 4th Ave Se, Glenwood, MN 56334-1898 | 3206344521 | GLACIAL RIDGE HOSPITAL DISTRICT |
| 417 Franklin St S, Glenwood, MN 56334-1518 | 3206345157 | GLACIAL RIDGE HOSPITAL DISTRICT |
| Organization Legal Name | GLACIAL RIDGE HOSPITAL DISTRICT |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Davis Huggins | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| John Andrew Dvorak | Ophthalmology | Glacial Ridge Hospital District | 16 Minnesota Ave W, Suite 102, Glenwood, MN 56334-1558 |
| Elizabeth A Ankeny | Nurse Practitioner | Glacial Ridge Hospital District | 111 Pleasant Ave N, Brooten, MN 56316-4715 |
| Joseph A Schneiderhan | Optometry | Glacial Ridge Hospital District | 10 4th Ave Se, Glenwood, MN 56334-1898 |
| Rwanda D Campbell | Obstetrics/gynecology | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Joan M Lunzer | Internal Medicine | Glacial Ridge Hospital District | 10 4th Ave Se, Glenwood, MN 56334-1898 |
| Rebecca Meinecke | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| David Edward Polzin | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Thomas E Pahl | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Elizabeth Z Colsen | General Surgery | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Street Address |
417 FRANKLIN ST S |
| City | GLENWOOD |
| State | MN |
| Zip | 56334-1518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Davis Huggins | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Rwanda D Campbell | Obstetrics/gynecology | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Rebecca Meinecke | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| David Edward Polzin | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Thomas E Pahl | Physician Assistant | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Elizabeth Z Colsen | General Surgery | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Tanya Marcy Freske | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Robert P Montenegro | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Margie R Nelson | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Erin R Dahlke | General Practice | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Bartell | Chiropractic | 12 6th Ave Nw, Suite 103, Glenwood, MN 56334-1167 | |
| Amy Lynn Brandt | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Alissa J Redding | Podiatry | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Jenna N Myrom | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Jessica M Vander Hagen | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Jeffrey Alan Schlueter | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Thomas John Haus | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Hamid R Abbasi | Neurosurgery | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Roderick Benjamin Brown | Family Medicine | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Megan A Grimsley | Nurse Practitioner | Glacial Ridge Hospital District | 417 Franklin St S, Glenwood, MN 56334-1518 |
| Find all physicians in zip 56334 | |||
| City | GLENWOOD |
| Zip Code | 56334 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GLENWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gustave L Mellgren.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.