Indira Mammen, MD

NPI #1427094796 in Cedarburg, Wisconsin

Provider Information

NPI Number: 1427094796
Entity Type: Individual
Name: Indira Mammen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Jun 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4922 COLUMBIA RD
City: Cedarburg
State: Wisconsin
ZIP Code: 53012-9188
Phone: (262) 375-2829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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