Individual
DR. MELINDA MILLAN DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2301 N BENDIX DR, SUITE 500, SOUTH BEND, IN 46628-3486
(574) 647-1675
Mailing address
3355 DOUGLAS RD, SUITE 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002334A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200833810
—
IN
Enumeration date
07/28/2006
Last updated
09/25/2008
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