Individual
MR. JAMES A MORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 901, MILWAUKEE, WI 53226-1309
(414) 778-4976
(414) 778-3445
Mailing address
2600 N MAYFAIR RD, SUITE 901, MILWAUKEE, WI 53226-1309
(414) 778-4976
(414) 778-3445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
258023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42925900
—
WI
Enumeration date
08/10/2006
Last updated
07/09/2007
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