# DR. GREGORY K MELLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932135894
- **Gender:** Man
- **Credential:** D.C.,D.A.B.C.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1000 | OH | Yes |
| 111N00000X | Chiropractor | 2933 | MI | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 10/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 311187277 | FIN | OH |