Individual
MELISSA LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 BROADWAY, MERRILLVILLE, IN 46410-7041
(219) 795-3360
(219) 756-6500
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7241
(317) 865-8540
(317) 865-8317
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10001330A
IN
363AS0400X
Surgical Physician Assistant
99048717A
IN
Other
Enumeration date
09/23/2011
Last updated
06/24/2016
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