Provider Demographics
NPI:1770389603
Name:STOPFER, MELANIE RENEE OPAL (MS)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:RENEE OPAL
Last Name:STOPFER
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:RENEE OPAL
Other - Last Name:STOPFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:5211 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-1960
Mailing Address - Country:US
Mailing Address - Phone:719-493-3762
Mailing Address - Fax:
Practice Address - Street 1:1190 E APPLE AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-3758
Practice Address - Country:US
Practice Address - Phone:231-737-9840
Practice Address - Fax:616-957-5853
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program