Individual
MELISSA NEWHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13850 W CAPITOL DR, BROOKFIELD, WI 53005
(262) 790-1118
(262) 790-2070
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38259
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32266500
—
WI
01
—
P00452801
RR MEDICARE
WI
Enumeration date
07/05/2006
Last updated
12/28/2010
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