Dr Michael Mazius, PHD | |
10303 N Port Washington Rd, #203, Mequon, WI 53092 | |
(262) 241-5955 | |
(262) 241-5926 |
Full Name | Dr Michael Mazius |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 10303 N Port Washington Rd, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114098712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1582057 (Wisconsin) | Primary |
Entity Name | North Shore Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780755389 PECOS PAC ID: 3173569282 Enrollment ID: O20050629000408 |
Mailing Address | Practice Location Address |
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Dr Michael Mazius, PHD 10303 N Port Washington Rd, #203, Mequon, WI 53092 Ph: (262) 241-5955 | Dr Michael Mazius, PHD 10303 N Port Washington Rd, #203, Mequon, WI 53092 Ph: (262) 241-5955 |
Dr. Charles Mathew Lodl, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092 Phone: 262-241-8901 Fax: 262-241-8907 | |
Dr. Amardeep Khahra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1017 W Glen Oaks Ln Ste 171, Mequon, WI 53092 Phone: 262-236-9588 | |
Dr. Cara Christina Raymond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 847-321-5731 | |
Judy A Walz, RN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10500 North Port Washington Road, Mequon, WI 53092 Phone: 262-240-0427 Fax: 262-240-0429 | |
Mr. Stephen Andrew Gilbertson, LIC PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 218, Mequon, WI 53092 Phone: 262-240-9620 | |
Dr. Nicole L Bickham, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092 Phone: 414-858-8085 |