Individual
DR. MARY M. RAJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 782-6040
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35169-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31996300
—
WI
Enumeration date
12/01/2005
Last updated
11/09/2012
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