Individual
MRS. MELISSA IRENE IZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
11649 N PORT WASHINGTON RD, MEQUON, WI 53092
(262) 241-8892
(266) 241-8894
Mailing address
1937 16TH AVE, GRAFTON, WI 53024
(262) 387-1099
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
2699 028
WI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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