Individual
MELISSA ANN DENIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 OAK ST, SUITE 11, BIG RAPIDS, MI 49307-3107
(231) 592-1002
(231) 305-3093
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301061790
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301061790
MI
Other
Enumeration date
06/29/2006
Last updated
10/24/2024
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