Individual
MRS. MELISSA MARIE BALLWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N698 SCHOEPP RD, LODI, WI 53555-9690
(608) 592-6762
Mailing address
N698 SCHOEPP RD, LODI, WI 53555-9690
(608) 592-6762
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
B420-5537-8871-08
WI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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