David M Melniczek MD INC

NPI #1053818815 in Jackson, California

Provider Information

NPI Number: 1053818815
Entity Type: Organization
Organization Name: David M Melniczek MD INC
Primary Specialty: Surgery
Enumeration Date: Apr 9, 2018
Last Updated: Jan 28, 2020

Practice Location

Address: 777 S STATE HIGHWAY 49 STE 1&2
City: Jackson
State: California
ZIP Code: 95642-2685
Phone: (209) 256-8200

Authorized Official

Name: DAVID MELNICZEK, MD
Title: OWNER
Phone: (209) 256-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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