Individual
MELINDA L MEROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036.144564
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
81357
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266094
—
WI
Enumeration date
03/23/2015
Last updated
09/10/2024
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