Individual
MELISSA R AMERTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
Mailing address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3676
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3676
TEP
WI
Enumeration date
04/28/2011
Last updated
04/28/2011
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