Individual
MELANIE ROSE PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 715-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020345
MI
Other
Enumeration date
05/02/2013
Last updated
12/29/2015
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