Individual
MELANIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
525 E JEFFERSON ST, VIROQUA, WI 54665-1730
(608) 606-6313
Mailing address
525 E JEFFERSON ST, VIROQUA, WI 54665-1730
(608) 606-6313
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
163-49
WI
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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