Doctor Name: | DR. MELANIE ANN SKINDZIER GLEISS |
NPI Number: | 1205829660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 2301005679 |
Business Practice Address: | 888 Phillips St South Haven, MI - 490901845 |
Business Phone Number: | 2696372131 |
Business Fax Number: | 2696398888 |
Mailing Address: | 888 Phillips St, SOUTH HAVEN |
State: | MI |
Postal Code: | 490901845 |
Phone Number: | 2696372131 |
Fax Number: | 2696398888 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/24/2006 |
NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301005679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |