Individual
MS. MARY ELIZABETH PONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7182
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2096
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008000215J
HUMANA
—
05
—
1346294345
—
WI
Enumeration date
05/22/2006
Last updated
08/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us