Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melonie Sue Ice, MD

Individual provider Internal Medicine Physician · NPI 1316054414

Melonie Sue Ice, MD is an Internal Medicine in Grand Rapids, Michigan. Graduated from Medical College of Ohio in 1986, 40 years ago. Practices with Center for Physical Rehabilitation Inc, a 344-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Trained at
Medical College of Ohio
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Paris Ave SE Ste 100
Grand Rapids, MI 49546
Phone: (616) 459-3158
Fax: (616) 988-0071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2093 Health Dr Sw Ste 200, Wyoming, MI 49519-9691 — (616) 459-3158

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301406808 (MI)

Record details

NPI number1316054414
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1986 (40 years in practice)
Group practice Center For Physical Rehabilitation Inc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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