Individual
MARY E BIENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 MAIN ST, UNION GROVE, WI 53182-1328
(262) 878-4424
(262) 687-8591
Mailing address
1120 MAIN ST, UNION GROVE, WI 53182-1328
(262) 878-4424
(262) 687-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44840
WI
Other
Enumeration date
06/24/2006
Last updated
11/23/2021
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