Individual
VICKIE B MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 583-6955
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101014118
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1652512154
BLUE CROSS BLUE SHIELD MI
MI
05
—
3300266
—
TN
01
—
4085255
BL CROSS
TN
01
—
OB56025
BCBSM GROUP
MI
Enumeration date
09/09/2005
Last updated
09/27/2023
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