Mamerow, Paul W

Mamerow, Paul W is an individual health care provider with primary practice located at 945 N 12Th St Suite 4602, Milwaukee WI 53233-1305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mamerow, Paul W can be contacted via phone (414) 219-7450.

Contact Information

Primary practice address
945 N 12Th St Suite 4602 Milwaukee WI 53233-1305
Phone: (414) 219-7450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1177-023 Wisconsin

Profile Details

NPI number 1396788295
LBN Legal business name Mamerow, Paul W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396788295 NPPES
Wisconsin MEDICAID 42990300

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