Individual
MELINDA ANNA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1151 TAYLOR STREET, DETROIT HEALTH DEPT HERMAN KIEFER HEALTH COMPLEX, DETROIT, MI 48202-1732
(313) 876-4720
(313) 876-0070
Mailing address
18464 SALEM, DETROIT, MI 48219
(313) 533-7151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301047429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11563449
CAQH
MI
05
—
4406167
—
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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