Individual
JOSEPH J MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548
(715) 387-5426
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
16711
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31253200
—
WI
Enumeration date
09/15/2006
Last updated
07/08/2007
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