Individual
MRS. MELISSA ANN PAULOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
110 PARADISE COURT, BRILLION, WI 54110-1709
(920) 756-2051
Mailing address
110 PARADISE COURT, BRILLION, WI 54110-1709
(920) 756-2051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38335600
—
WI
Enumeration date
01/31/2007
Last updated
07/09/2007
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