MELY TAN TAN

MUNSTER, IN
NPI1225020647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01031700A)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IN  01031700A)
Enumeration Date2005-08-22
Last Update Date2013-11-04
Business Address
-- MELY TAN TAN MD
8242 CALUMET AVE
MUNSTER, IN 46321-1758
Phone number: 219-836-5738
Mailing Address
-- MELY TAN TAN MD
PO BOX 664056
MUNSTER, IN 46321-1758
Phone number: 317-528-4800