Individual
MRS. MELISSA MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 254-6179
Mailing address
6719 TIGER LILY DR, KALAMAZOO, MI 49009-7788
(616) 292-3611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802086401
MI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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