Individual
DR. MELANIE M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
1375 E 20TH AVE FL 5, DENVER, CO 80205-5422
(303) 338-3376
(303) 764-4747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
276308-1
NY
207N00000X
Dermatology Physician
Primary
54284
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028736
KAISER COMMERCIAL NUMBER
CO
05
—
60953250
—
CO
Enumeration date
06/15/2011
Last updated
09/19/2022
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