| Doctor Name: | DR. MELVILLE Q. WYCHE |
| NPI Number: | 1003831942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11067R |
| Business Practice Address: | 4346 Bancroft Dr New Orleans, LA - 701221202 |
| Business Phone Number: | 5042867794 |
| Business Fax Number: | 5042867796 |
| Mailing Address: | 4346 Bancroft Dr, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701221202 |
| Phone Number: | 5042867794 |
| Fax Number: | 5042867796 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11067R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |