Marback, Melissa

Marback, Melissa is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Marback, Melissa can be contacted via phone (248) 551-0417.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Fax: (248) 551-5010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301060217 Michigan

Profile Details

NPI number 1083606586
LBN Legal business name Marback, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 30th, 2019 - 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 1083606586 NPPES
Michigan Other 4301060217 CONTROLLLED SUBSTANCE
Michigan Other BM3148485 CONTROLLLED SUBSTANCE

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