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Individual

MELISSA L TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 907-3922
Mailing address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 907-9322
(920) 929-7392

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5710
WI

Other

Enumeration date
03/19/2014
Last updated
05/04/2022
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