Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.133233 | OH |
NPI | 1003201658 |
---|---|
Provider Name | Melissa Joy Drewry |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Troy, MI 48085-1117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 12/06/2019 |