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Organization

IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALYA MELNIC (MBA)
(818) 378-9549
Entity
Organization

Contact information

Practice address
777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3875
(818) 378-9549
(877) 712-5707
Mailing address
4635 SOUTHWEST FWY STE 525, HOUSTON, TX 77027-7157
(818) 378-9549

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13078
LICENSE NUMBER
WI
Enumeration date
04/28/2025
Last updated
04/28/2025
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