Individual
MARI C MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 N DOWNER AVE, MILWAUKEE, WI 53211-2934
(414) 229-3914
Mailing address
N68W14788 PRUDENCE DR, MENOMONEE FALLS, WI 53051-0911
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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