Individual
MELISSA A VANDERMISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
N3860 BASS LAKE RD, IRON MOUNTAIN, MI 49801-9306
(920) 770-3250
Mailing address
N3860 BASS LAKE RD, IRON MOUNTAIN, MI 49801-9306
(920) 770-3250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009510
MI
111N00000X
Chiropractor
4973-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639307473
—
WI
Enumeration date
07/01/2009
Last updated
10/02/2019
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