Individual
MELISSA ZOE MARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7733
Mailing address
415 E VINE ST APT 212, MILWAUKEE, WI 53212-3987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8101-23
WI
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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