Individual
MS. MARY E SURGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 465-3271
(414) 231-4014
Mailing address
5007 W COLONIAL CT, GREENFIELD, WI 53220-2012
(414) 541-7716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122-26
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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