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Individual

MRS. MELISSA R THEMAR GECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63372
WI
2085R0202X
Diagnostic Radiology Physician
ME103402
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100042732
WI
Enumeration date
09/17/2008
Last updated
02/15/2024
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