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Contact Information

MICHAEL MAZIUS, PHD
10303 N PORT WASHINGTON RD
#203
MEQUON, WI53092
 Phone: 262-241-5955
 Fax: 262-241-5926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL MAZIUS · (Male)

NPI Number 1114098712
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1582057
Hospital affiliation(s) Not Available
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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