Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301083603 | MI |
N | 2080P0204X | Pediatric Emergency Doctor | 4301083603 | MI |
NPI | 1295855492 |
---|---|
Provider Name | Dr. Melissa Pike |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ann Arbor, MI 48103-1889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 28/12/2016 |