Individual provider · Type 1 NPI

Melanie Renee Hanisch, DO

Pediatrics Physician · Owasso, OK

NPI number 1073263653 Active

Practice location

12150 E 96th St N Ste 101
Owasso, OK 74055-5339

Mailing address

4030 E 43rd St
Tulsa, OK 74135-2745

Other practice locations

  • 5795 S Elm Pl, Broken Arrow, OK 74011-4893 · (918) 716-5437

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X8214 (OK)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

3 other providers at this address

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About NPI 1073263653

Melanie Renee Hanisch, DO's National Provider Identifier is 1073263653, issued on Mar 25, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Owasso, OK. The record was last updated on Sep 11, 2025.