# GEORGE MELLOS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619422649
- **Authorized official:** GEORGE E MELLOS MD (OWNER)
- **Authorized official phone:** (248) 949-8886

## Contact information

- **Practice address:** 43200 DEQUINDRE RD, STE 104, STERLING HEIGHTS, MI 48314-1707
- **Practice address phone:** (586) 799-4350
- **Practice address fax:** (586) 799-4279
- **Mailing address:** 28890 VILLAGE LN, FARMINGTON HILLS, MI 48334-3154
- **Mailing address phone:** (248) 949-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 4301050595 | MI | Yes |

## Other

- **Enumeration date:** 08/19/2016
- **Last updated:** 04/24/2024