Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 2462173 | MI |
NPI | 1316598253 |
---|---|
Provider Name | Melissa Hilton |
First Address | Norton Shores, MI 49441-3339 |
Second Address | Muskegon, MI 49444-4408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2019 |
Last Update Date | 23/09/2019 |