Individual
MELANIE MOMMAERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13025 8TH ST, OSSEO, WI 54758-7634
(920) 619-0307
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 597-2575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17105
WI
1835P2201X
Ambulatory Care Pharmacist
17105-40
WI
Other
Enumeration date
09/21/2023
Last updated
10/27/2023
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