Mayer, Vicki L

Mayer, Vicki L is an individual health care provider with primary practice located at 403 Stageline Rd , Hudson WI 54016-7899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mayer, Vicki L can be contacted via phone (715) 531-6800.

Contact Information

Primary practice address
403 Stageline Rd Hudson WI 54016-7899
Phone: (715) 531-6800
Fax: (715) 531-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22001 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22687 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G44963 California

Profile Details

NPI number 1245202340
LBN Legal business name Mayer, Vicki L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 22nd, 2009 - about 16 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 1245202340 NPPES
Wisconsin MEDICAID 30235400

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