Gagrica, Melisa

Gagrica, Melisa is an individual health care provider with primary practice located at 4201 Saint Antoine St Suite 3R, Detroit MI 48201-2153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Gagrica, Melisa can be contacted via phone (313) 745-3000.

Contact Information

Primary practice address
4201 Saint Antoine St Suite 3R Detroit MI 48201-2153
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301082232 Michigan

Profile Details

NPI number 1134140239
LBN Legal business name Gagrica, Melisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 17th, 2008 - about 16 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 1134140239 NPPES
Illinois MEDICAID 036118494

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