Individual
MELANIE FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 447-0131
(765) 446-8168
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152
(763) 268-4240
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001121A
IN
Other
Enumeration date
06/09/2006
Last updated
11/08/2007
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