Individual
MRS. MELISSA ANN WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 486-4431
Mailing address
975 COUNTY ROAD PBP, ISHPEMING, MI 49849-8795
(906) 361-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704279296
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704279296
MI
Other
Enumeration date
12/02/2019
Last updated
11/06/2020
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