Provider Demographics
NPI:1083815559
Name:SOMERS, MELISSA LINNAE (MD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LINNAE
Last Name:SOMERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LINNAE
Other - Last Name:GORGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:560 W MITCHELL ST STE 250
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2277
Mailing Address - Country:US
Mailing Address - Phone:231-487-3277
Mailing Address - Fax:231-487-6167
Practice Address - Street 1:560 W MITCHELL ST STE 250
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2277
Practice Address - Country:US
Practice Address - Phone:231-487-3277
Practice Address - Fax:231-487-6167
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088355207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology