Individual
MRS. MELISSA J PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
151 PARKVIEW DRIVE, MILLERSBURG, OH 44654
(330) 674-1200
(330) 674-3320
Mailing address
151 PARKVIEW DRIVE, MILLERSBURG, OH 44654
(330) 674-1200
(330) 674-3320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003697
IL
363A00000X
Physician Assistant
Primary
50.00322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002072
LICENSE NUMBER
IA
01
—
085003697
LICENSE NUMBER
IL
01
—
50.00322
LICENSE
OH
Enumeration date
02/17/2010
Last updated
06/18/2014
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