Edwards, Melanie Andene

Edwards, Melanie Andene is an individual health care provider with primary practice located at 5325 Elliott Dr Ste 102 , Ypsilanti MI 48197. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Edwards, Melanie Andene can be contacted via phone (734) 712-5500.

Contact Information

Primary practice address
5325 Elliott Dr Ste 102 Ypsilanti MI 48197
Phone: (734) 712-5500
Fax: (734) 712-8209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD.202419 Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301114086 Michigan

Profile Details

NPI number 1023216777
LBN Legal business name Edwards, Melanie Andene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2007
Last updated Jul 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023216777 NPPES
Mississippi MEDICAID 08300274
Mississippi MEDICAID 1199923

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