Individual
MELISSA MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4220
Mailing address
700 W MILWAUKEE ST, JEFFERSON, WI 53549-1436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1531-39
WI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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