Individual
BRIAN R. MAMEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6100
(608) 826-2710
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6100
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49307
WI
Other
Enumeration date
07/05/2006
Last updated
06/20/2011
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