Individual
MR. MELVIN BYRON PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10400 W. NORTH AVE., WAUWATOSA, WI 53226
(414) 479-2513
(414) 479-2515
Mailing address
S75W33050 ROLLING FIELDS DR, MUKWONAGO, WI 53149-9311
(262) 392-4002
(414) 479-2515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1909-023
WI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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