Individual
MELISSA MICHELLE TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ARCADE AVE STE 230, ELKHART, IN 46514-2485
(574) 522-6565
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040381
MEDICARE PTAN
IN
05
—
300056494
—
IN
01
—
M59677018
MEDICARE PTAN
IN
Enumeration date
09/01/2021
Last updated
11/22/2021
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