Individual
MR. MELVIN MICHAEL VALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
8650 HOWARD CITY EDMORE RD, LAKEVIEW, MI 48850
(989) 352-6474
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704169791
MI
Other
Enumeration date
08/28/2016
Last updated
12/01/2023
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