Most Relevant Information
Provider Data
| NPI Number: | 1003406174 |
| Provider Name: | MELISSA ANNE BARACH AGCNS |
| Entity Type: | Individual |
| Taxonomy Code: | 364S00000X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 4704298347 |
Most Important Dates
| Enumeration Date: | 01/22/2021 |
| Last Updated: | 01/22/2021 |
Provider Practice Location
6777 W MAPLE RD
WEST BLOOMFIELD
MI
483223013
Practice Location Phone/Fax
| Phone: | 9892457466 |
| Fax: |
Provider Mailing Location
3179 HARTSLOCK WOODS DR
WEST BLOOMFIELD
MI
483221842
Provider Mailing Phone/Fax
| Phone: | 9892457466 |
| Fax: |