Mcinnis, Melvin Gordon

Mcinnis, Melvin Gordon is an individual health care provider with primary practice located at 4250 Plymouth Road , Ann Arbor MI 48109-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mcinnis, Melvin Gordon can be contacted via phone (734) 764-6443.

Contact Information

Primary practice address
4250 Plymouth Road Ann Arbor MI 48109-2700
Phone: (734) 764-6443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301084398 Michigan
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301084398 Michigan

Profile Details

NPI number 1295807113
LBN Legal business name Mcinnis, Melvin Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 19th, 2021 - about 3 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 1295807113 NPPES
Michigan MEDICAID 4722686

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