Individual
MELANIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
S73W16437 JANESVILLE RD, MUSKEGO, WI 53150-9723
(414) 422-0300
Mailing address
PO BOX 547, MUSKEGO, WI 53150-0547
(262) 679-1420
(414) 422-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3621-35
WI
Other
Enumeration date
06/16/2020
Last updated
08/21/2020
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