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Individual

DR. MELANIE CAROL HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11161 RANDOLPH ST, CROWN POINT, IN 46307-8564
(219) 662-9424
(219) 662-7465
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01058131A
IN
208000000X
Pediatrics Physician
036108713
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001944601A
IN
Enumeration date
01/18/2007
Last updated
04/19/2023
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