Individual
MARIANNE K MELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 4400, GRAND RAPIDS, MI 49503-2562
(616) 486-6333
(616) 486-6399
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6333
(616) 486-6399
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
ML067619
MI
208600000X
Surgery Physician
ML067619
MI
2086X0206X
Surgical Oncology Physician
Primary
4301067619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104745617
—
MI
01
—
ML067619
BCBS
MI
Enumeration date
11/20/2006
Last updated
03/03/2021
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