Individual
LAURA L MENDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Mailing address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52963-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518180785
—
WI
Enumeration date
04/10/2007
Last updated
12/11/2020
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