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NPI Code Detail

MEDICARE: DR. MARIA CRISTINA CHAN-MELLANA MD

MEDICARE:  DR. MARIA CRISTINA CHAN-MELLANA  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 Physician4301109293MI
2207R00000XInternal Medicine PhysicianMD13267RI

General Provider Information

NPI Number : 1063650315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA CRISTINA CHAN-MELLANA MD
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-2000
Country : US
Telephone Number : 844-832-1956
Fax Number : 989-633-5241
Provider Business Practice Location Address
First Line : 40 CANDACE ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-3747
Country : US
Telephone Number : 401-444-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2009
Last Update Date : 03/04/2026

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Directions to “ DR. MARIA CRISTINA CHAN-MELLANA MD” Practice Location

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