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Individual

WILLIAM MICHAEL PLAZA MELLANA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4201 CAMPUS RIDGE DR STE 3100, MIDLAND, MI 48670
(989) 488-5470
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 633-8018

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
258180
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301109020
MI

Other

Enumeration date
09/10/2009
Last updated
06/01/2018
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