Organization
MELISSA DENIEL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN DENIEL M.D. (OWNER)
(616) 949-4400
Entity
Organization
Contact information
Practice address
877 FOREST HILL AVE SE, SUITE C, GRAND RAPIDS, MI 49546-2380
(616) 949-4400
(616) 949-4424
Mailing address
877 FOREST HILL AVE SE, SUITE C, GRAND RAPIDS, MI 49546-2380
(616) 949-4400
(616) 949-4424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301061790
MI
Other
Enumeration date
07/03/2008
Last updated
09/02/2011
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