Individual
MELISSA AM HERTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 SHRINE CLUB RD, STE B, LANDER, WY 82520-8502
(307) 332-0900
Mailing address
15 SHRINE CLUB RD STE B, LANDER, WY 82520-8502
(307) 206-1440
(307) 206-1444
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
51837-20
WI
207Y00000X
Otolaryngology Physician
Primary
TL4446
WY
Other
Enumeration date
10/03/2006
Last updated
10/17/2018
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