# DR. MELISSA MARIE WATTERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205966959
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01063285A | IN | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 02/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 090540030 | MEDICARE | IN |
| 05 | — | 200871840 | — | IN |