Melanie A Gust, LMT

NPI #1023380490 in Delafield, Wisconsin

Provider Information

NPI Number: 1023380490
Entity Type: Individual
Name: Melanie A Gust, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Feb 1, 2012
Last Updated: Feb 1, 2012

Practice Location

Address: 405 GENESEE ST
City: Delafield
State: Wisconsin
ZIP Code: 53018-1814
Phone: (262) 646-4727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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