Individual
MS. MELINDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
731 CLAY ST, DARLINGTON, WI 53530-1225
(608) 776-4497
(608) 776-2317
Mailing address
731 CLAY ST, DARLINGTON, WI 53530-1225
(608) 776-4497
(608) 776-2317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1185-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42991500
—
WI
Enumeration date
09/16/2005
Last updated
02/14/2020
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