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Melissa K Hidde, MD
Pharmacist in Green Bay, Wisconsin
NPI 1184900169

Melissa K Hidde is a Pharmacist based in Green Bay, WI. Melissa K Hidde practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Melissa K Hidde is 1184900169 and holds a License No. 64157-20 (Wisconsin).

The current practice location address for Melissa K Hidde is 1630 Commanche Ave, Green Bay, WI and can be reached out via phone at 920-430-4700.

Location: 1630 Commanche Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184900169
Provider Name
Melissa K Hidde
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1630 Commanche Ave, Green Bay, WI, 54305-2487
Phone Number
920-430-4700
Fax Number
Provider Enumeration Date
10/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1092278690 01 AMERICAN BOARD OF FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
1630 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5753
Phone Number
920-430-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1630 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5753
Phone Number
920-430-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15515-040 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
64157-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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