Individual
MELISSA F HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 S US HIGHWAY 27 STE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 668-0423
Mailing address
1560 TURF LANE, EAST LANSING, MI 48823-6392
(517) 484-3000
(517) 484-6358
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MH070380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0331169
BCBS/BCN PROVIDER #
MI
01
—
0700378
PHP PROVIDER #
MI
01
—
0770053
PHP FAMILYCARE PROVIDER #
MI
01
—
1016279
MCLAREN PROVIDER #
MI
05
—
4662800
—
MI
Enumeration date
03/07/2006
Last updated
01/20/2023
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