Individual
DR. ANDREW MAZULIS
Active
Individual
DR. ANDREW MAZULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1699031583
IL
207RG0100X
Gastroenterology Physician
Primary
036-135984
IL
207RG0100X
Gastroenterology Physician
69801-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699031583
—
WI
01
—
69801-20
LICENSE
WI
Enumeration date
04/05/2012
Last updated
01/05/2024
Update your record
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