Individual
DR. JESSICA L MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR, RECP D, ANN ARBOR, MI 48109-5362
(734) 647-5944
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097913
MI
207RG0100X
Gastroenterology Physician
Primary
4301097913
MI
207RT0003X
Transplant Hepatology Physician
4301097913
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2007
Last updated
07/09/2015
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