Individual
MELISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-6677
(313) 874-0266
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704271755
MI
Other
Enumeration date
04/21/2019
Last updated
06/02/2025
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