Organization
GEORGE MELLOS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE E MELLOS MD (OWNER)
(248) 949-8886
Entity
Organization
Contact information
Practice address
43200 DEQUINDRE RD, STE 104, STERLING HEIGHTS, MI 48314-1707
(586) 799-4350
(586) 799-4279
Mailing address
28890 VILLAGE LN, FARMINGTON HILLS, MI 48334-3154
(248) 949-8886
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301050595
MI
Other
Enumeration date
08/19/2016
Last updated
04/24/2024
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