Individual
AYKARETHU O MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4922 COLUMBIA RD, CEDARBURG, WI 53012-9188
(262) 375-2829
(262) 375-8513
Mailing address
4922 COLUMBIA RD, CEDARBURG, WI 53012-9188
(262) 375-2829
(262) 375-8513
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20052
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31155700
—
WI
Enumeration date
06/22/2006
Last updated
07/08/2007
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