Individual
MELISSA J KNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
130 MEYER AVE, FREDONIA, WI 53021-9474
(262) 692-9000
(262) 692-2797
Mailing address
935 N GRANT ST, PO BOX 99, PORT WASHINGTON, WI 53074-1459
(262) 692-9000
(262) 692-2797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2992
WI
Other
Enumeration date
07/11/2006
Last updated
09/05/2016
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