Individual
MELANIE S. KOCEVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2003 STULTS RD, HUNTINGTON, IN 46750-1291
(260) 356-6788
(260) 356-3723
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41000343A
IN MEDICAL LICENSE
IN
Enumeration date
06/03/2016
Last updated
11/23/2022
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