Individual
MELISSA A DEWILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 502-2800
Mailing address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 502-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.017249
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.032062
OH
Other
Enumeration date
04/27/2021
Last updated
08/19/2024
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