| Doctor Name: | DR. MELISSA A. DINE |
| NPI Number: | 1700084787 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 58001720 |
| Business Practice Address: | 6200 Cleveland Ave Suite 101 Columbus, OH - 432318608 |
| Business Phone Number: | 6148980150 |
| Business Fax Number: | 6148980694 |
| Mailing Address: | 6200 Cleveland Ave, Suite 101 COLUMBUS |
| State: | OH |
| Postal Code: | 432318608 |
| Phone Number: | 6148980150 |
| Fax Number: | 6148980694 |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 58001720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |