Individual
MARIA GEORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-5000
(262) 329-5001
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
74774
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159531
—
WI
Enumeration date
03/31/2019
Last updated
10/14/2025
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