Most Relevant Information
Provider Data
| NPI Number: | 1003331232 |
| Provider Name: | MELVIN VICTOR ECKLES |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2017 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
420 W FIFTH AVE
FLINT
MI
48503
Practice Location Phone/Fax
| Phone: | 8104246083 |
| Fax: |
Provider Mailing Location
420 W FIFTH AVE
FLINT
MI
48503
Provider Mailing Phone/Fax
| Phone: | 8104246083 |
| Fax: |