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1770116220
MELISSA GORMAN
WAUWATOSA, WI
NPI
1770116220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5139)
Enumeration Date
2020-02-12
Last Update Date
2021-03-26
Business Address
MELISSA GORMAN
9200 W WISCONSIN AVE
WAUWATOSA, WI 53226-3522
Phone number: 414-805-4600
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Mailing Address
MELISSA GORMAN
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-4600
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