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Individual

MRS. MELISSA ANN WILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
(414) 329-2500
Mailing address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-6319

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1956
WI

Other

Enumeration date
03/14/2017
Last updated
03/15/2024
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