NPI 1023380490

Melanie a Gust, LMT

Practitioner Specialist Delafield, WI

Practice location

Address: 405 Genesee St, Delafield, WI 53018-1814
Phone: (262) 646-4727
Fax: (262) 646-4729

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4453-046 (WI)

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Registry record

NPI: 1023380490
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2012
Record last updated: 1 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.