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Individual

WENDY MELCHERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1217 124TH AVE, NEW RICHMOND, WI 54017-6670
(715) 220-9485
Mailing address
1217 124TH AVE, NEW RICHMOND, WI 54017-6670
(715) 220-9485

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191690-30
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2409530923
WI
Enumeration date
07/29/2012
Last updated
07/29/2012
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