Individual
DR. MELANIE HAMMERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1756 CARDINAL LN, GREEN BAY, WI 54313
(920) 884-2808
Mailing address
1756 CARDINAL LN, GREEN BAY, WI 54313-7121
(920) 884-2808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001720-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1001720-15
WI
Other
Enumeration date
03/06/2018
Last updated
08/26/2019
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