Individual
MS. MELVA GALE CRAFT-BLACKSHEAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
7815 E JEFFERSON AVE, SUITE 3A, DETROIT, MI 48214-3704
(313) 499-4170
(313) 499-4911
Mailing address
43800 GARFIELD RD, SUITE 201, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-4652
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704131538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4702360
—
MI
05
—
4702370
—
MA
Enumeration date
06/05/2006
Last updated
07/09/2007
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