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NPI Code Detail

MEDICARE: MR. ANTHONY EMMANUEL MELONAKOS MD

MEDICARE: MR. ANTHONY EMMANUEL MELONAKOS 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
1207X00000XOrthopaedic Surgery Physician4301040131MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679577621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY EMMANUEL MELONAKOS MD
Provider Business Mailing Address
First Line : 1420 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4211
Country : US
Telephone Number : 734-241-0042
Fax Number : 734-384-0469
Provider Business Practice Location Address
First Line : 1420 N MONROE ST
Second Line :
City : MONROE
State : MI
Zip : 48162-4211
Country : US
Telephone Number : 734-241-0042
Fax Number : 734-384-0469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 11/03/2023

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