Individual
MR. STEPHEN K MEKKATTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 MERRITT AVE APT 103, OSHKOSH, WI 54901-5373
(516) 830-0480
Mailing address
835 MERRITT AVE APT 103, OSHKOSH, WI 54901-5373
(516) 830-0480
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1104909
WI
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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