| Doctor Name: | DR. MICHAEL GERARDO MELENDEZ |
| NPI Number: | 1013080787 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 160913-1205 |
| Business Practice Address: | 2789 E Spyglass Ct Coeur D Alene, ID - 83815 |
| Business Phone Number: | 2086100041 |
| Business Fax Number: | 2087771313 |
| Mailing Address: | 2789 E Spyglass Ct, COEUR D ALENE |
| State: | ID |
| Postal Code: | 83815 |
| Phone Number: | 2087620288 |
| Fax Number: | 2087771313 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 160913-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |