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Individual

MRS. MELANIE ANN STIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2149 VELP AVE, STE 100, GREEN BAY, WI 54303-5424
(920) 434-3767
(920) 434-8128
Mailing address
2149 VELP AVE, STE 100, GREEN BAY, WI 54303-5424
(920) 434-3767
(920) 434-8128

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1900035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38524200
WI
Enumeration date
05/20/2008
Last updated
03/15/2011
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