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Contact Information

MELISSA RICKER BOUCHE, MD
2651 WINDSOR ST
SUN PRAIRIE, WI53590-9825
 Phone: 608-837-2206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for MELISSA RICKER BOUCHE · (Female)

NPI Number 1184253775
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2020
Last updated 12/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 76364
  • WI License # 76364-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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