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NPI Code Detail

MEDICARE: MARY HOBBS MELAND MD

MEDICARE: MARY HOBBS MELAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician18733MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1063J0MEOTHERMNBLUE CROSS
2CP9041014218OTHERMNPREFERRED ONE
31201419OTHERMNMEDICA
4153449OTHERMNUCARE

General Provider Information

NPI Number : 1154393304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HOBBS MELAND MD
Provider Business Mailing Address
First Line : 17705 HUTCHINS DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 952-401-8300
Fax Number :
Provider Business Practice Location Address
First Line : 17705 HUTCHINS DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4145
Country : US
Telephone Number : 952-401-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/09/2007

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Directions to “ MARY HOBBS MELAND MD” Practice Location

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