Individual provider · Type 1 NPI

Marissa Jewel Vahle Mielke, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1124817895 Active

Practice location

420 Delaware St SE
Minneapolis, MN 55455-0341

Call (612) 624-0990 Map

Mailing address

420 Delaware St SE Ste MMC913
Minneapolis, MN 55455-0341

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124817895

Marissa Jewel Vahle Mielke, MD's National Provider Identifier is 1124817895, issued on May 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 1, 2025.