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1710202577
MELISSA A DERCKS
GREEN BAY, WI
NPI
1710202577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: WI 4010-33)
Enumeration Date
2010-04-05
Last Update Date
2021-07-14
Business Address
MELISSA A DERCKS APNP
725 S WEBSTER AVE SUITE 201
GREEN BAY, WI 54301-3500
Phone number: 920-430-7100
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Mailing Address
MELISSA A DERCKS APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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