Individual
DR. RANDALL GEORGE MELCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12750 W CAPITAL DR, BROOKFIELD, WI 53005
(262) 781-2020
(262) 781-6535
Mailing address
W137N7657 NORTH HILLS DR, MENOMONEE FALLS, WI 53051
(262) 255-6787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1634
WI
Other
Enumeration date
10/26/2006
Last updated
11/29/2007
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