Individual
DR. MELISSA MARLENE MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
333 E COLISEUM BLVD, FORT WAYNE, IN 46805-1003
(260) 483-2020
Mailing address
70 WESTERN AVE, COLDWATER, MI 49036-1229
(517) 278-9244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003215A
IN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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