Melzer-Lange, Marlene D
Melzer-Lange, Marlene D is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Emergency Medicine, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Melzer-Lange, Marlene D can be contacted via phone (414) 266-2647.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Emergency Medicine
Milwaukee WI 53226-4874
Phone: (414) 266-2647
Fax: (414) 266-2635
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 20041 | Wisconsin |
Profile Details
NPI number | 1063463818 |
---|---|
LBN Legal business name | Melzer-Lange, Marlene D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Dec 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063463818 | NPPES |
Other | 002000126V | HUMANA | |
MEDICAID | 1063463818 | HUMANA |
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