Individual
MICHELLE L. MELLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 DUDLEY ST, SUITE 555, PROVIDENCE, RI 02905-3236
(401) 444-3032
(401) 444-3205
Mailing address
2 DUDLEY ST, SUITE 555, PROVIDENCE, RI 02905-3236
(401) 444-3032
(401) 444-3205
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD12012
RI
2084N0600X
Clinical Neurophysiology Physician
MD12012
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD12012
MEDICAL LICENSE
RI
Enumeration date
06/06/2006
Last updated
02/25/2015
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