Individual
MS. MELISSA K MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 MEADOW DR, SUITE C, MOUNT GILEAD, OH 43338-1063
(419) 946-1085
(419) 946-1209
Mailing address
7326 STATE ROUTE 19, UNIT 5014, MOUNT GILEAD, OH 43338-9354
(419) 946-1527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007177B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2274444
—
OH
Enumeration date
09/16/2005
Last updated
02/03/2010
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