Individual
MELISSA KRISTOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1821 SOUNTH WEBSTER AVE., GREEN BAY, WI 54301
(920) 373-6750
Mailing address
7909 COUNTY J, LENA, WI 54139
(920) 373-6750
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100986
WI
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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