Individual
MARY C MAZUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5000 W CHAMBERS ST, ST. JOSEPH REGIONAL MEDICAL CTR-WOMEN'S OUTPATIENT CTR, MILWAUKEE, WI 53210-1650
(414) 447-2275
(414) 874-4045
Mailing address
5000 W CHAMBERS ST, ST. JOSEPH REGIONAL MEDICAL CTR-WOMEN'S OUTPATIENT CTR, MILWAUKEE, WI 53210-1650
(414) 447-2275
(414) 874-4045
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
4774
WI
367A00000X
Advanced Practice Midwife
Primary
122697-032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39905800
—
WI
Enumeration date
01/29/2007
Last updated
02/07/2014
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