Doctor Name: | MELISSA MCCUTCHEON |
NPI Number: | 1912239484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 33.018506 |
Business Practice Address: | 23131 Emery Rd Warrensville Heights, OH - 441285136 |
Business Phone Number: | 2165149590 |
Business Fax Number: | |
Mailing Address: | 7203 Gerald Ave, PARMA |
State: | OH |
Postal Code: | 441293243 |
Phone Number: | 4403418902 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 33.018506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |