Organization
M J MISHEFSKE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MISHEFSKE MD (PRESIDENT)
(414) 573-0552
Entity
Organization
Contact information
Practice address
3070 N 51ST ST # P309, MILWAUKEE, WI 53210-1645
(414) 447-7330
(414) 447-7330
Mailing address
4301 COBBLESTONE DR, RACINE, WI 53405-1173
(414) 573-0552
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
27738
WI
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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