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NPI Code Detail

MEDICARE: DR. MELANIE D ROOKWOOD MD

MEDICARE:  DR. MELANIE D ROOKWOOD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2018034281MO

General Provider Information

NPI Number : 1417510173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE D ROOKWOOD MD
Provider Business Mailing Address
First Line : 16759 MAIN ST STE 203
Second Line :
City : WILDWOOD
State : MO
Zip : 63040-1232
Country : US
Telephone Number : 636-458-4800
Fax Number :
Provider Business Practice Location Address
First Line : 16759 MAIN ST STE 203
Second Line :
City : WILDWOOD
State : MO
Zip : 63040-1232
Country : US
Telephone Number : 636-458-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 04/18/2019

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Directions to “ DR. MELANIE D ROOKWOOD MD” Practice Location

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