Organization
MARYAM K DOYLE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM K DOYLE MD (OWNER/PRESIDENT)
(414) 365-3210
Entity
Organization
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8383
Mailing address
4555 W SCHROEDER DR, SUITE #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31773400
—
WI
Enumeration date
10/23/2006
Last updated
11/24/2014
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