Individual
DR. DENNIS J MAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-7199
(414) 955-0110
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-7199
(414) 955-0110
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21771
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000125Q
HUMANA
—
05
—
1265483010
—
WI
Enumeration date
05/15/2006
Last updated
05/09/2014
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