Individual
MELISSA E BIBICOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Mailing address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101020321
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2013
Last updated
01/27/2021
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