Organization
MELANIE S HADDOX, MD, LLC
Active
Other names
Melanie Thombre, MD & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE S HADDOX MD (OWNER)
(419) 471-1848
Entity
Organization
Contact information
Practice address
2639 UPTON AVE, TOLEDO, OH 43606-3936
(419) 471-1848
(419) 471-0037
Mailing address
2639 UPTON AVE, TOLEDO, OH 43606-3936
(419) 471-1848
(419) 471-0037
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35047294T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166089
ANTHEM
—
05
—
0593237
—
OH
01
—
322767
MHN HMC
—
01
—
34149182200
BWC
—
01
—
DE9270
MEDICARE RR
—
Enumeration date
03/12/2007
Last updated
02/12/2010
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