Individual
MICHELLE LYNN MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6630 UNIVERSITY AVE RM L12, MIDDLETON, WI 53562-3036
(608) 890-5433
Mailing address
6630 UNIVERSITY AVE RM L12, MIDDLETON, WI 53562-3036
(608) 890-5433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4143-154
WI
Other
Enumeration date
06/11/2015
Last updated
07/10/2023
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