Stephen V Mawn, MD | |
3805b Spring St, Suite 260, Racine, WI 53405-1641 | |
(262) 687-6150 | |
Not Available |
Full Name | Stephen V Mawn |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 3805b Spring St, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326061177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 155674 (New York) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | 43630-020 (Wisconsin) | Secondary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | United Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
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Stephen V Mawn, MD 3805b Spring St, Suite 260, Racine, WI 53405-1641 Ph: (262) 687-6150 | Stephen V Mawn, MD 3805b Spring St, Suite 260, Racine, WI 53405-1641 Ph: (262) 687-6150 |
Regina A Capelli-scheidt, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 7325 Foley Rd, Racine, WI 53402 Phone: 262-818-4684 | |
Anthony Albert Herrmann, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3430 Michigan Blvd, Racine, WI 53402 Phone: 262-498-3080 Fax: 815-642-8385 |