Melanie Rose Pendergrass, D.O.
Family Medicine in Grand Blanc, MI. Individual provider (NPI-1).
NPI number1508201799
StatusActive
Last updated in NPPESDec 29, 2015
Details
- NPI
- 1508201799
- Entity type
- Individual (NPI-1)
- Name
- Melanie Rose Pendergrass
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2013
- Last updated
- Dec 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101020345 | MI | Yes |
Practice location
1 Genesys PkwyGrand Blanc, MI 48439-8065
Phone 810-606-5000
Mailing address
1460 N Center RdBurton, MI 48509-1429
Phone 810-715-4300
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