Individual
MELISSA LYNN RUKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1711 SHAWANO AVE, GREEN BAY, WI 54303-3215
(920) 494-9541
Mailing address
2442 FORESTVILLE DR, GREEN BAY, WI 54304-1710
(920) 499-8733
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3937-016
WI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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