Female

Dr. Mallory J. Yelenich-huss M.D.

Surgery Physician in Coon Rapids, MN(View on Map)

Full Name

Dr. Mallory Jo Yelenich-huss M.D.

NPI Number

1144648643

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/01/2014

Specialties

(Taxonomies)

Code

208600000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

67451

Contact
Information

Purpose

Mailing
Location

Address

2925 CHICAGO AVE
11850 BLACKFOOT ST NW STE 1

City

Minneapolis
Coon Rapids

State

MN
MN

Postal Code

55407-1321
55433-2578

Country

US
US

Telephone Number

(612) 262-9000
(763) 236-9000

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

myelenichhuss561120@excellian.direct.allina.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
CDA/PDF/TXT

Affiliation

N

Endpoint Location

11850 Blackfoot St NW Ste 1Coon Rapids, MN554332578US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/15/2022

Provider Address

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