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1760786925
DAVID DIXON MELLENCAMP
MILWAUKEE, WI
NPI
1760786925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 16299-20)
Enumeration Date
2011-01-03
Last Update Date
2011-01-03
Business Address
Dr. DAVID DIXON MELLENCAMP MD
3970 N OAKLAND AVE 300
MILWAUKEE, WI 53211-2265
Phone number: 414-961-0304
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Mailing Address
Dr. DAVID DIXON MELLENCAMP MD
9409 PRINCE CHARLES
AUSTIN, TX 78730-3466
Phone number: 512-294-2677
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