Provider Demographics
NPI:1023225448
Name:MALEC, MELANIE J (MD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:J
Last Name:MALEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 714328
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4328
Mailing Address - Country:US
Mailing Address - Phone:440-279-1500
Mailing Address - Fax:440-279-1501
Practice Address - Street 1:510 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024
Practice Address - Country:US
Practice Address - Phone:440-279-1500
Practice Address - Fax:440-279-1501
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.011795207Q00000X
OH35-092422207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine