Melissa Zoe Marting, PA-C
Physician Assistant in Milwaukee, WI. Individual provider (NPI-1).
NPI number1649099136
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1649099136
- Entity type
- Individual (NPI-1)
- Name
- Melissa Zoe Marting
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8101-23 | WI | Yes |
Practice location
945 N 12th StMilwaukee, WI 53233-1305
Phone 414-219-7733
Mailing address
415 E Vine St Apt 212Milwaukee, WI 53212-3987
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