Provider Demographics
NPI:1821216607
Name:BAYNE, MELISSA S (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:S
Last Name:BAYNE
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Gender:F
Credentials:DO
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Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-486-6790
Mailing Address - Fax:616-486-6702
Practice Address - Street 1:230 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:MI
Practice Address - Zip Code:49327-9006
Practice Address - Country:US
Practice Address - Phone:231-834-5995
Practice Address - Fax:231-924-0248
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-03-10
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Provider Licenses
StateLicense IDTaxonomies
MI5101016860207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology