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1770389603 NPI number — MELANIE RENEE OPAL STOPFER M.S.

NPI Number: 1770389603
Health Care Provider/Practitioner: MELANIE RENEE OPAL STOPFER M.S.

Information about “1770389603” NPI (MELANIE RENEE OPAL STOPFER M.S.) exists in 1770389603 in HTML format HTML  |  1770389603 in plain Text format TXT  |  1770389603 in PDF (Portable Document Format) PDF  |  1770389603 in an XML format XML  formats.

NPI Number : 1770389603 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770389603",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STOPFER",
    "FirstName": "MELANIE",
    "MiddleName": "RENEE OPAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STOPFER",
    "OtherFirstName": "MELANIE",
    "OtherMiddleName": "RENEE OPAL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "C.M.T.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5211 JEFFERSON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUSKEGON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49442-1960",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-493-3762",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1190 E APPLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUSKEGON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49442-3758",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-737-9840",
    "PracticeLocationAddressFaxNumber": "616-957-5853",
    "EnumerationDate": "02/21/2025",
    "LastUpdateDate": "02/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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