# MELISSA K MCRAE, D.O., INC

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

## Provider details

- **NPI number:** 1730110636
- **Authorized official:** DR. MELISSA KAYE MCRAE D.O. (PHYSICIAN)
- **Authorized official phone:** (419) 946-1085

## Contact information

- **Practice address:** 900 MEADOW DRIVE, SUITE C, MOUNT GILEAD, OH 43338
- **Practice address phone:** (419) 946-1085
- **Practice address fax:** (419) 946-1209
- **Mailing address:** 900 MEADOW DRIVE, SUITE C, MOUNT GILEAD, OH 43338
- **Mailing address phone:** (419) 946-1085
- **Mailing address fax:** (419) 946-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 01/19/2011