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NPI Code Detail

MEDICARE: MELISSA WESTERHOF

MEDICARE:   MELISSA  WESTERHOF
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
11041C0700XClinical Social Worker6801095751MI

General Provider Information

NPI Number : 1073938056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA WESTERHOF
Provider Business Mailing Address
First Line : 5000 HAKES DR STE 500
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-5574
Country : US
Telephone Number : 231-769-2134
Fax Number :
Provider Business Practice Location Address
First Line : 5000 HAKES DR STE 500
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-5574
Country : US
Telephone Number : 231-769-2134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 12/28/2016

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Directions to “ MELISSA WESTERHOF ” Practice Location

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