Individual
MELISSA GOLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 HOYT ST, PERU, NE 68421-3073
(308) 995-7122
Mailing address
PO BOX 154, PERU, NE 68421-0154
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
22372
NE
2255A2300X
Athletic Trainer
Primary
848
NE
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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