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NPI Code Detail

MEDICARE: MELANIE KOLLMANSBERGER

MEDICARE: MELANIE KOLLMANSBERGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerWI

General Provider Information

NPI Number : 1528790078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE KOLLMANSBERGER
Provider Business Mailing Address
First Line : W1183 MEADOWSWEET PASS
Second Line :
City : IXONIA
State : WI
Zip : 53036-9552
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 MCMILLEN ST
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1233
Country : US
Telephone Number : 920-563-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2022
Last Update Date : 10/07/2022

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Directions to “ MELANIE KOLLMANSBERGER ” Practice Location

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