Individual
JONATHAN MELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
(414) 649-5840
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77951-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
08/26/2023
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