Organization
MELLON CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN MELLON D.C. (PHYSICIAN,OWNER,PRESIDENT)
(906) 774-2488
Entity
Organization
Contact information
Practice address
208 E HUGHITT ST, IRON MOUNTAIN, MI 49801-2910
(906) 774-2488
(906) 774-2307
Mailing address
208 E HUGHITT ST, IRON MOUNTAIN, MI 49801-2910
(906) 774-2488
(906) 774-2307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950B210770
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/16/2007
Last updated
05/29/2009
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