Individual
MELISSA M DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15851 S US 27 STE 620, LANSING, MI 48906-5659
(517) 927-9463
Mailing address
15851 S US 27 STE 620, LANSING, MI 48906-5659
(517) 927-9463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2704059801
MI
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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