ALEXANDER MELNIKOV

ANDERSON, IN
NPI1578562435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  fm0844868)
Enumeration Date2005-07-21
Last Update Date2011-05-12
Business Address
Mr. ALEXANDER MELNIKOV PA
2015 JACKSON ST
ANDERSON, IN 46016-4337
Phone number: 765-646-8439
Mailing Address
Mr. ALEXANDER MELNIKOV PA
2903 W JACKSON ST
MUNCIE, IN 47304-4307
Phone number: 765-741-1411
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