Search › Michigan › 106S00000X
Melissa Provenzano
NPI 1184292468 · on the registry since 2021 · sole proprietor
Practice
- Address
- 50194 Schoenherr Rd
Shelby Township, MI 48315 - Phone
- (586) 991-6596
- Fax
- (248) 712-4381
- Clinicians at this address
- 76
Additional practice sites
- 27777 Inkster Rd Ste 100, Farmington Hills, MI
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-22
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