Provider Demographics
NPI:1861448573
Name:SELNER, MELISSA JENNIFER (DPM)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JENNIFER
Last Name:SELNER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:126 VALLE VERDE CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1630
Mailing Address - Country:US
Mailing Address - Phone:818-421-8464
Mailing Address - Fax:
Practice Address - Street 1:2500 MILVIA ST
Practice Address - Street 2:SUITE 226
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2636
Practice Address - Country:US
Practice Address - Phone:510-841-5771
Practice Address - Fax:510-841-5772
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4640213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery