Melodie M Icasiano MD

NPI 1003882978 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1003882978
Gender Female
Enumeration Date 02/28/2006
Last Updated 04/22/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
MADIGAN ARMY MEDICAL CENTER
BLDG 9040 FITZSIMMONS DR.
TACOMA WA, 98431-0001, US
Phone (253) 968-1740
Fax
Business Location
100 LANCASTER AVE
MOB EAST SUITE 158
WYNNEWOOD PA, 19096-3427, US
Phone (610) 649-2126
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Washington
License Number MD00042886
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According to our database, Dr. Melodie M Icasiano MD NPI is 1003882978, taxonomy code is 207V00000X and license number is MD00042886, license state is located at Washington. Melodie M Icasiano MD physically located at Madigan Army Medical Center, Tacoma WA, 98431-0001. NPI Number Melodie M Icasiano MD has the Individual type.

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1003882978 NPI number is provided on an as is basis without warranty of any kind. 1003882978 is maintained by the National Plan & Provider Enumeration System. The contents of Melodie M Icasiano MD are for informational purposes only.