Individual
DR. MICHAEL JOHN MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
208 E HUGHITT ST, IRON MOUNTAIN, MI 49801-2910
(906) 774-2488
(906) 774-2307
Mailing address
208 E HUGHITT ST, IRON MOUNTAIN, MI 49801-2910
(906) 774-2488
(906) 774-2307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950B250030
BLUE CROSS BLUE SHIELD
MI
01
—
P00093384
RAILROAD MEDICARE
MI
Enumeration date
05/25/2006
Last updated
07/08/2007
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