Individual
DR. JEAN-MARIE MEHOLCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1208 ONEILL HWY, DUNMORE, PA 18512-1709
(570) 207-2612
(570) 207-2616
Mailing address
1208 O'NEILL HWY, DUNMORE, PA 18512
(570) 207-2612
(570) 207-2616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD036047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001052057
—
PA
01
—
146907
BLUE SHIELD
PA
Enumeration date
09/12/2005
Last updated
08/28/2013
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