Individual provider · Type 1 NPI
Gary Douglas Mellum, DC
Chiropractor · West Fargo, ND
NPI number
1750637013
Active
Practice location
3997 4th St E
West Fargo, ND 58078-2865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1039 (ND) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1750637013
Gary Douglas Mellum, DC's National Provider Identifier is 1750637013, issued on Jul 24, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Fargo, ND. The record was last updated on Oct 15, 2026.