Provider Demographics
NPI:1104231620
Name:DEER PELLETIER, MELISSA MAY (DO)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MAY
Last Name:DEER PELLETIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:636 RAYMOND DR STE 303
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9792
Mailing Address - Country:US
Mailing Address - Phone:630-653-4240
Mailing Address - Fax:630-315-1505
Practice Address - Street 1:636 RAYMOND DR STE 303
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9792
Practice Address - Country:US
Practice Address - Phone:630-653-4240
Practice Address - Fax:630-315-1505
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NETEP7304207V00000X
IADO-05216207V00000X
IL036157477207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology