Individual
MELANIE MAY FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S 3RD AVE, BIG RAPIDS, MI 49307-9501
(231) 796-5825
Mailing address
8691 HURON DR, HOWARD CITY, MI 49329-9388
(765) 409-0492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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