Individual
DR. VICKI L MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7899
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7899
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22001
WI
207Q00000X
Family Medicine Physician
22687
MN
207Q00000X
Family Medicine Physician
G44963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30235400
—
WI
Enumeration date
02/02/2006
Last updated
04/22/2009
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