Individual
GEORGE EVAN MELLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18471 HAGGERTY RD, NORTHVILLE, MI 48168-8513
(248) 349-3000
Mailing address
28890 VILLAGE LN, FARMINGTON HILLS, MI 48334-3154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301050595
MI
Other
Enumeration date
10/12/2006
Last updated
04/24/2024
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