Truckenbrod, Melissajo

Truckenbrod, Melissajo is an individual health care provider with primary practice located at 2311 N Prospect Ave , Milwaukee WI 53211-4445. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Truckenbrod, Melissajo can be contacted via phone (414) 319-3000.

Contact Information

Primary practice address
2311 N Prospect Ave Milwaukee WI 53211-4445
Phone: (414) 319-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14583-33 Wisconsin
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 14583-33 Wisconsin
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 14583-33 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 14583-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 14583-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14583-33 Wisconsin

Profile Details

NPI number 1922873850
LBN Legal business name Truckenbrod, Melissajo
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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