Individual
DR. MICHELLE ELIZABETH MELISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 DIVISADERO STREET, SAN FRANCISCO, CA 94143-0001
(415) 353-7070
(415) 353-9898
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66224
CA
207RX0202X
Medical Oncology Physician
Primary
A66224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A6622400
—
CA
Enumeration date
04/27/2006
Last updated
08/04/2023
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