| Dr Mario R Powell, MD | |
|
975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201 | |
| (262) 329-1000 | |
| Not Available |
| Full Name | Dr Mario R Powell |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 975 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609828391 | NPI | - | NPPES |
| 008906261V | Other | HUMANA | |
| 1609828391 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 46494 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mario R Powell, MD 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201 Ph: (262) 329-1000 | Dr Mario R Powell, MD 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
Maren Elizabeth Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Samantha Lynn Mcgreer Winstead, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Sarah Lyne Godbert Gaethke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 | |
Thomas B Chatton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Kevin B Scammell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington Street, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 |