Individual
MARY JO CAPODICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 459-1459
Mailing address
526 SAINT CLAIR AVE, SHEBOYGAN, WI 53081-3528
(920) 457-0318
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
34116
WI
Other
Enumeration date
01/09/2007
Last updated
11/30/2021
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