Individual
MELISSA DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 EASTPARK BLVD, MADISON, WI 53718-2007
(608) 240-3000
Mailing address
W6572 NAVAN RD, WATERTOWN, WI 53094-9111
(608) 240-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235685-30
WI
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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