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NPI Code Detail

MEDICARE: MELISSA A DOSER AGNP

MEDICARE: MELISSA A DOSER AGNP
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
1363LA2200XAdult Health Nurse Practitioner4704287144MI
2363LG0600XGerontology Nurse Practitioner4704287144MI
3363L00000XNurse Practitioner4704287144MI

General Provider Information

NPI Number : 1275038911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA A DOSER AGNP
Provider Business Mailing Address
First Line : 14100 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5010
Country : US
Telephone Number : 734-742-1161
Fax Number : 734-742-1173
Provider Business Practice Location Address
First Line : 14100 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5010
Country : US
Telephone Number : 734-464-7810
Fax Number : 734-742-1173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 03/26/2018

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