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Individual

MARY F RAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8701 W WATERTOWN PLANK RD, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3548
(414) 805-4600
Mailing address
6870 W KATHLEEN CT APT 7, FRANKLIN, WI 53132-9220
(414) 467-5055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1304
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43892300
WI
01
682370078
MEDICARE PROVIDER NUMBER
WI
Enumeration date
02/12/2007
Last updated
01/23/2009
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