Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 34.014359 | OH |
N | 207YS0123X | Facial Plastic Surgeon | 34.014359 | OH |
N | 207YS0123X | Facial Plastic Surgeon | MI5101016489 | MI |
N | 207YS0123X | Facial Plastic Surgeon | OS10818 | FL |
NPI | 1447472485 |
---|---|
Provider Name | Dr. Melissa Amy Charnesky |
First Address | Toledo, OH 43604-1531 |
Second Address | Sylvania, OH 43560-2768 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 28/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1447472485 | (05) | MI |