Individual
DR. MELISSA ASHLEY MACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
793 S QUEEN ST, DOVER, DE 19904-3568
(302) 735-8855
(302) 736-8570
Mailing address
640 S STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C2-0011869
DE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C2-0011869
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2-0011869
DE LICENSE
DE
01
—
LP02534
RHODE ISLAND LICENSE
RI
Enumeration date
05/30/2012
Last updated
01/08/2019
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