Individual
MARY JANE MELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7775 TROTTERS PARK ST, YPSILANTI, MI 48197-1861
(734) 340-9443
(734) 615-5974
Mailing address
7775 TROTTERS PARK ST, YPSILANTI, MI 48197-1861
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG03230006
MI
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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