Individual
MELISSA ANNE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Mailing address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01068352A
IN
Other
Enumeration date
07/03/2007
Last updated
08/03/2016
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