Individual
MELISSA MARIE GOSDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 WHITE PINE LOOP, EAGLE RIVER, WI 54521-8461
(715) 891-0845
Mailing address
4405 WHITE PINE LOOP, EAGLE RIVER, WI 54521-8461
(715) 891-0845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190974-30
WI
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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