Individual
DR. MELISSA JEAN GIDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10300 LITTLE PATUXENT PKWY, SUITE 1005B, COLUMBIA, MD 21044-3341
(410) 740-9952
(410) 740-9731
Mailing address
8341 MONTGOMERY RUN RD, UNIT J, ELLICOTT CITY, MD 21043-7289
(410) 740-9952
(410) 740-9731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1861
MD
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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