Individual
MARY MCCOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 AMERICAN AVE, STE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Mailing address
721 AMERICAN AVE, STE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34707
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31961200
—
WI
Enumeration date
02/13/2006
Last updated
07/25/2024
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