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Contact Information

MARY MCCOMIS, MD
721 AMERICAN AVE, STE 304
WAUKESHA, WI53188
 Phone: 262-549-2229
 Fax: 262-549-1657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARY MCCOMIS · (Female)

NPI Number 1104890722
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2006
Last updated 07/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 34707
  • WI Medicaid 31961200
Hospital affiliation(s)
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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