Individual
DR. DALE A D'MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 W SAGINAW ST, LANSING, MI 48915-1927
(517) 364-7700
(517) 364-7701
Mailing address
A233 E FEE HALL, EAST LANSING, MI 48824-1316
(517) 353-4363
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301039175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523713
—
MI
Enumeration date
09/20/2006
Last updated
12/07/2009
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