Individual
MELISSA ANNE BARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(989) 245-7466
Mailing address
3179 HARTSLOCK WOODS DR, WEST BLOOMFIELD, MI 48322-1842
(989) 245-7466
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704298347
MI
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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