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Individual

DR. MELANIE GRILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 W MAIN ST, BELLEVUE, OH 44811-9429
(419) 332-7321
Mailing address
PO BOX 727, FREMONT, OH 43420-0727

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34005113
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133779
OH
Enumeration date
03/16/2006
Last updated
10/26/2007
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