MRS. Melanie Moore, PA-C
NPI #1861024606 in Northville, Michigan
Provider Information
- NPI Number
- 1861024606
- Entity Type
- Individual
- Name
- MRS. Melanie Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 10, 2020
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 650 GRISWOLD ST
- City
- Northville
- State
- Michigan
- ZIP Code
- 48167-1666
- Phone
- (734) 634-6449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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