| Doctor Name: | JEFFREY MENDELOFF |
| NPI Number: | 1043297203 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 42004 |
| Business Practice Address: | 6500 Excelsior Blvd St Louis Park, MN - 554264702 |
| Business Phone Number: | 9529933246 |
| Business Fax Number: | |
| Mailing Address: | 3800 Park Nicollet Blvd, Credentialing ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554162527 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2005 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 42004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |