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Individual

DR. MELISSA A. OBMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1000 E. MOUNTAIN DRIVE, WILKESBARRE, PA 18711
(570) 808-6000
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS012418
PA
2086S0129X
Vascular Surgery Physician
Primary
OS012418
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101244934
PA
Enumeration date
04/11/2006
Last updated
08/11/2020
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