Individual
MARY D WASHBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 W RIVER WOODS PKWY, GLENDALE, WI 53212-1080
(414) 963-7100
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 963-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34808
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31984000
—
WI
Enumeration date
10/13/2006
Last updated
06/07/2012
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