Individual
MELINDA A. BRAHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
123 W STATE ST, MEDFORD, WI 54451-1772
(715) 748-4447
(715) 748-4447
Mailing address
W7463 GRASSY KNOLL TRL, MEDFORD, WI 54451-8618
(715) 748-2756
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
288-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41132100
—
WI
01
—
51000
SECURITY HEALTH PROVIDER
WI
Enumeration date
11/22/2006
Last updated
07/09/2007
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