Individual provider · Type 1 NPI
Jack T. Melms
Student in an Organized Health Care Education/Training Program · Madison, WI
NPI number
1508607425
Active
Practice location
8002 Watts Rd
Madison, WI 53719-3811
Mailing address
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
2 other providers at this address
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About NPI 1508607425
Jack T. Melms's National Provider Identifier is 1508607425, issued on Jun 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Aug 26, 2024.