Individual
MATTHEW BIRK MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 345, MILWAUKEE, WI 53215-3669
(414) 649-7900
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
62217
WI
207X00000X
Orthopaedic Surgery Physician
BP10026870
TX
207XX0801X
Orthopaedic Trauma Physician
261768
NY
207XX0801X
Orthopaedic Trauma Physician
A120685
CA
207XX0801X
Orthopaedic Trauma Physician
MD440658
PA
Other
Enumeration date
07/08/2008
Last updated
11/23/2021
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