Individual
MELISSA CLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
43821 FORD RD, CANTON, MI 48187-3122
(734) 656-1021
(734) 656-1022
Mailing address
43821 FORD RD, CANTON, MI 48187-3122
(734) 656-1021
(734) 656-1022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704316144
MI
Other
Enumeration date
01/23/2020
Last updated
10/19/2023
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