Individual
ADOLFO MELICOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24681 NORTHWESTERN HWY, STE1, SOUTHFIELD, MI 48075-2305
(248) 352-2000
(248) 352-8800
Mailing address
PO BOX 1500, NOVI, MI 48376-1500
(248) 324-0700
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301039154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4794406
—
MI
Enumeration date
02/22/2006
Last updated
07/08/2007
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