Individual
STEVEN J MAMEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
S69 W15636 JANESVILLE ROAD, PROHEALTH CARE MEDICAL ASSOCIATES, INC, MUSKEGO, WI 53150-7900
(262) 928-7000
(414) 422-2075
Mailing address
N17 W24100 RIVERWOOD DRIVE, PROHEALTH CARE MEDICAL ASSOCIATES, INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30380700
—
WI
Enumeration date
02/10/2006
Last updated
10/13/2011
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