Mazul, Mary C

Mazul, Mary C is an individual health care provider with primary practice located at 5000 W Chambers St St. Joseph Regional Medical Ctr-Women'S Outpatient Ctr, Milwaukee WI 53210-1650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Mazul, Mary C can be contacted via phone (414) 447-2275.

Contact Information

Primary practice address
5000 W Chambers St St. Joseph Regional Medical Ctr-Women'S Outpatient Ctr Milwaukee WI 53210-1650
Phone: (414) 447-2275
Fax: (414) 874-4045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 122697-032 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 4774 Wisconsin

Profile Details

NPI number 1528104536
LBN Legal business name Mazul, Mary C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 7th, 2014 - about 10 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 1528104536 NPPES
Wisconsin MEDICAID 39905800

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