Individual provider · Type 1 NPI
Melvin Byron Pepper, PA-C
Medical Physician Assistant · Wauwatosa, WI
NPI number
1639267255
Active
Practice location
10400 W. North Ave.
Wauwatosa, WI 53226
Fax (414) 479-2515
Mailing address
S75W33050 Rolling Fields Dr
Mukwonago, WI 53149-9311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1909-023 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1639267255
Melvin Byron Pepper, PA-C's National Provider Identifier is 1639267255, issued on Oct 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 8, 2007.