Provider Demographics
NPI:1588095244
Name:MELOSI, OLIVIA A
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:A
Last Name:MELOSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 SHAKER DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4452
Mailing Address - Country:US
Mailing Address - Phone:248-227-2713
Mailing Address - Fax:
Practice Address - Street 1:1430 SHAKER DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4452
Practice Address - Country:US
Practice Address - Phone:248-227-2713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other