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Individual

JOHN D MELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1801 HARVEST LN, BLOOMFIELD HILLS, MI 48302-1227
(248) 895-8218
Mailing address
1801 HARVEST LN, BLOOMFIELD HILLS, MI 48302-1227
(248) 626-0766
(248) 626-7498

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
JM029356
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301029356
MI

Other

Enumeration date
07/06/2006
Last updated
02/24/2025
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