Individual
MELISSA COOPER FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD STE 404, ROYAL OAK, MI 48073-6770
(248) 551-3535
(248) 551-3311
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
4301074043
MI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
4301074043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
01
—
I56300
HAP
MI
01
—
MF074043
BCBSM LICENSE NUMBER
MI
Enumeration date
07/19/2006
Last updated
07/22/2022
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