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Melissa R Amertil, MD
Student in an Organized Health Care Education/Training Program in Janesville, Wisconsin
NPI 1174814859

Melissa R Amertil is a Student in an Organized Health Care Education/Training Program based in Janesville, WI. Melissa R Amertil practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Melissa R Amertil is 1174814859 and holds a License No. 3676 (Wisconsin).

The current practice location address for Melissa R Amertil is 849 Kellogg Ave, Janesville, WI and can be reached out via phone at 608-755-7960.

Location: 849 Kellogg Ave, Janesville, WI, 53546-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174814859
Provider Name
Melissa R Amertil
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
849 Kellogg Ave, Janesville, WI, 53546-2808
Phone Number
608-755-7960
Fax Number
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3676 01 WI TEP
institution
Provider Business Practice Location Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
person
Provider Business Mailing Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3676 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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