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Individual

TAMARA A MELONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2802 INTERNATIONAL LANE, MADISON, WI 53708-0017
(608) 245-3527
(608) 245-3869
Mailing address
2802 INTERNATIONAL LANE, MADISON, WI 53708-0017
(608) 245-3527
(608) 245-3869

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2168-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60644
DEAN HEALTH INSURANCE
WI
Enumeration date
07/25/2007
Last updated
09/03/2014
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