Individual
MELISSA JANE PETRONOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 896-0612
Mailing address
1415 N BROADWAY AVE, MARSHFIELD, WI 54449-1321
(715) 896-0612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3552-154
WI
Other
Enumeration date
03/20/2012
Last updated
09/23/2014
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