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Individual
MELANIE CASTLE
Active
Individual
MELANIE CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2029-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42892200
—
WI
Enumeration date
10/02/2006
Last updated
05/26/2009
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