Provider Demographics
NPI:1801093968
Name:AABERG, MELANIE LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LYNN
Last Name:AABERG
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:38935 ANN ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3397
Mailing Address - Country:US
Mailing Address - Phone:888-861-8740
Mailing Address - Fax:866-250-6385
Practice Address - Street 1:5450 FORT ST
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4601
Practice Address - Country:US
Practice Address - Phone:734-671-3883
Practice Address - Fax:734-671-3546
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101019616207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1801093968Medicaid
MI12298835OtherCAQH