Organization
DAVID M MELNICZEK MD INC
Active
Other names
NorCal Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MELNICZEK MD (OWNER)
(209) 256-8200
Entity
Organization
Contact information
Practice address
777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642-2685
(209) 256-8200
(209) 256-8204
Mailing address
777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642-2685
(209) 256-8200
(209) 256-8204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051705
BOARD CERTIFICATION
CA
Enumeration date
04/09/2018
Last updated
01/28/2020
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