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Individual

MELISSA BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
601 JOHN ST # 71, KALAMAZOO, MI 49007-5341
(269) 341-8253
(269) 341-7847
Mailing address
601 JOHN ST # 71, KALAMAZOO, MI 49007-5341
(269) 341-8253
(269) 341-7847

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704208587
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4780901-10
MI
01
700G560080
BCBS GROUP-THREE RIVERS HEALTH
MI
Enumeration date
11/30/2005
Last updated
03/17/2018
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