Search › Wisconsin › 111N00000X
Theresa Mellom, DC
NPI 1134608425 · on the registry since 2018
Practice
- Address
- 820 E Paradise Dr
West Bend, WI 53095 - Phone
- (262) 334-8188
- Fax
- (262) 334-8166
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin