Individual
MARY B. AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-6790
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
40835
WI
207VM0101X
Maternal & Fetal Medicine Physician
153589
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
40835
WI
207VX0000X
Obstetrics Physician
153589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32579900
—
WI
Enumeration date
05/16/2006
Last updated
11/19/2021
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