Organization
MELANIE JESSUP, DPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE R JESSUP DPM (OWNER)
(248) 596-1548
Entity
Organization
Contact information
Practice address
20415 NORTHVILLE PLACE DR, #2308, NORTHVILLE, MI 48167-2944
(248) 596-1548
(248) 596-1548
Mailing address
20415 NORTHVILLE PLACE DR, #2308, NORTHVILLE, MI 48167-2944
(248) 596-1548
(248) 596-1548
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4853712
—
MI
Enumeration date
06/17/2006
Last updated
08/22/2020
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