Individual
ASHLEY DIANA MCMELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
1 FORD PL # 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.143056
OH
207P00000X
Emergency Medicine Physician
Primary
4301513770
MI
207P00000X
Emergency Medicine Physician
DR.0073269
CO
Other
Enumeration date
04/04/2019
Last updated
06/30/2025
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