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Individual
MS. MELANIE WENDT MOLLIGAN
Active
Individual
MS. MELANIE WENDT MOLLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010519400
—
FL
01
—
Y0AR5
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/23/2011
Last updated
10/12/2015
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