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Individual

MELISSA A LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
636-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004
BCBS
WI
05
100008569
WI
Enumeration date
05/05/2006
Last updated
04/08/2024
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