DR. Gary J. Mellon, OD

NPI #1861472268 in Boyne City, Michigan

Provider Information

NPI Number: 1861472268
Entity Type: Individual
Name: DR. Gary J. Mellon, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 20, 2006
Last Updated: Sep 11, 2008

Practice Location

Address: 102 E MAIN ST
City: Boyne City
State: Michigan
ZIP Code: 49712-1336
Phone: (231) 582-6704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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