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Contact Information

MELISSA A FONFEREK, CST
1818 N MEADE ST
SUITE 240 WEST
APPLETON, WI54911-3454
 Phone: 920-731-8289
 Fax: 920-832-0444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for MELISSA A FONFEREK · (Female)

NPI # 1215483268
Status Active
Credentials CST
Entity Individual
Enumeration date 08/30/2016
Last updated 08/30/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
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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