Individual
ALISON MELBA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(954) 248-9554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25688
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
73094-20
WI
207RR0500X
Rheumatology Physician
Primary
73094-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102171
—
WI
Enumeration date
07/12/2017
Last updated
10/18/2023
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