Individual
MELODY E MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
15879
WI
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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