MARY A MELLENTHIN

FOND DU LAC, WI
NPI1164890596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  6501-33)
Enumeration Date2015-09-02
Last Update Date2020-12-07
Business Address
MARY A MELLENTHIN APNP
912 S HICKORY ST
FOND DU LAC, WI 54935-5530
Phone number: 920-907-3922
Mailing Address
MARY A MELLENTHIN APNP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5666
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