Individual
MS. MARY E. NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2626 N 76TH ST, 105, WAUWATOSA, WI 53213-1137
(414) 774-7794
(414) 771-7731
Mailing address
2626 N 76TH ST, 105, WAUWATOSA, WI 53213-1137
(414) 774-7794
(414) 771-7731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30742500
—
WI
Enumeration date
07/31/2006
Last updated
09/11/2007
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