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Individual

MISS MELISSA R ALTHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3601 S DEER CREEK PKWY, UNIT 3207, NEW BERLIN, WI 53151-5330
(414) 467-1377
Mailing address
3601 S DEER CREEK PKWY, UNIT 3207, NEW BERLIN, WI 53151-5330
(414) 467-1377

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316838-31
WI

Other

Enumeration date
05/26/2013
Last updated
05/26/2013
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