SearchMichigan152W00000X

Gary Mellon, OD

NPI 1861472268 · on the registry since 2006 · sole proprietor

Practice

Address
102 E Main St
Boyne City, MI 49712
Phone
(231) 582-6704
Fax
(231) 582-7113
Organisation at this address
Gary J. Mellon ,O.D.,P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan