MEDICARE: MELISSA DYBVIG

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1174143093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DYBVIG

Provider Business Mailing Address
First Line	:	825 N 43RD AVE E
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55804-1939
Country	:	US
Telephone Number	:	218-340-9079
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 N 43RD AVE E
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55804-1939
Country	:	US
Telephone Number	:	218-340-9079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2020
Last Update Date	:	04/21/2020

Similar Medicare Providers

1316800832 — SARA L ZRUST
Practice Location Address:

222 W SUPERIOR ST STE 200
DULUTH, MN
55802-1939

Practice Phone: 218-606-1100
Practice Fax:

1497567507 — MARC A LETENDRE MSED
Practice Location Address:

222 W SUPERIOR ST STE 200
DULUTH, MN
55802-1939

Practice Phone: 218-606-1100
Practice Fax:

1972396240 — MR. NATHAN AARON JAMES JOHNSON LPC
Practice Location Address:

222 W SUPERIOR ST STE 200
DULUTH, MN
55802-1939

Practice Phone: 218-606-1100
Practice Fax: 218-520-1799

1912630369 — MRS. HEATHER SIMONE
Practice Location Address:

3501 E 3RD ST
DULUTH, MN
55804-1813

Practice Phone: 218-340-7483
Practice Fax:

1003808023 — LISA M HEBL PA-C
Practice Location Address:

6351 E SUPERIOR ST
DULUTH, MN
55804-2545

Practice Phone: 218-249-4500
Practice Fax: 218-249-4555

1447240163 — WILLIAM G DOLS DDS
Practice Location Address:

4515 E SUPERIOR ST
DULUTH, MN
55804-2337

Practice Phone: 218-525-6661
Practice Fax:

Directions to “ MELISSA DYBVIG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.