Individual
DARYL JOHN MELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21918
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30307500
—
WI
01
—
3908168571A4
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/02/2007
Last updated
11/10/2010
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