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Individual

DR. PETER MELCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4646 SUMMERBRIDGE CIR, LEESBURG, FL 34748-7486
(352) 874-5317
Mailing address
4646 SUMMERBRIDGE CIR, LEESBURG, FL 34748-7486
(352) 874-5317

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22724-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22724-20
STATE OF WISCONSIN
WI
Enumeration date
07/28/2014
Last updated
07/28/2014
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