Individual
MELODY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4202 W OAKWOOD PARK CT, FRANKLIN, WI 53132-9118
(414) 423-5250
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
73236-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101561
—
WI
Enumeration date
03/29/2014
Last updated
11/30/2021
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