Individual
DR. NATHAN C MELOY
Active
Individual
DR. NATHAN C MELOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036112357
IL
208VP0014X
Interventional Pain Medicine Physician
5101017187
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
51723-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4999459-11
—
MI
05
—
5207874-11
—
MI
01
—
556315665
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/01/2005
Last updated
05/21/2021
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