ELLEN M MELLICK

LA CROSSE, WI
NPI1861476178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WI  1395-033)
Enumeration Date2005-11-30
Last Update Date2007-07-08
Business Address
ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555
Mailing Address
ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555
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