Individual
MELINDA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5039 MOUNTAIN RIDGE DR NE, ADA, MI 49301-9557
(616) 581-3015
Mailing address
5039 MOUNTAIN RIDGE DR NE, ADA, MI 49301-9557
(616) 581-3015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MJ070028
MI
207V00000X
Obstetrics & Gynecology Physician
4301070028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4319428
—
MI
Enumeration date
10/26/2005
Last updated
08/02/2024
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