Individual
MELISSA L CHUDNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2885 N MAYFAIR RD, MILWAUKEE, WI 53222-4404
(414) 771-6780
(414) 238-2424
Mailing address
2885 N MAYFAIR RD, MILWAUKEE, WI 53222-4404
(414) 771-6780
(414) 238-2424
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
42813
WI
207K00000X
Allergy & Immunology Physician
Primary
42813-02
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34199100
—
WI
Enumeration date
02/07/2006
Last updated
11/03/2016
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