MEDICARE: MELISSA BIGELOW

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1891550919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA BIGELOW

Provider Business Mailing Address
First Line	:	8385 LAUGHLIN CT
Second Line	:
City	:	PARMA
State	:	MI
Zip	:	49269-0422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8385 LAUGHLIN CT
Second Line	:
City	:	PARMA
State	:	MI
Zip	:	49269-0422
Country	:	US
Telephone Number	:	906-280-1816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	02/19/2024

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Directions to “ MELISSA BIGELOW ” Practice Location

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