Individual
MELISSA FOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 E COMMERCE BLVD, SLINGER, WI 53086-9326
(262) 644-2900
Mailing address
1061 E COMMERCE BLVD, SLINGER, WI 53086-9326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77551
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229738
—
WI
Enumeration date
03/31/2020
Last updated
10/06/2023
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