Basic Information
Provider Information
NPI: 1437369899
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBINSON-WOODARD
FirstName: MELANIE
MiddleName: JOI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROBINSON
OtherFirstName: MELANIE
OtherMiddleName: JOI
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 12800 WINSTON
Address2:  
City: REDFORD
State: MI
PostalCode: 482392614
CountryCode: US
TelephoneNumber: 3136714064
FaxNumber:  
Practice Location
Address1: 1200 E MICHIGAN AVE
Address2: SUITE 370
City: LANSING
State: MI
PostalCode: 489121800
CountryCode: US
TelephoneNumber: 5174844451
FaxNumber: 5174840291
Other Information
ProviderEnumerationDate: 05/23/2007
LastUpdateDate: 07/26/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X4301084009MIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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