DR. Larisa I Mazur, MD

NPI #1861565202 in Thiensville, Wisconsin

Provider Information

NPI Number: 1861565202
Entity Type: Individual
Name: DR. Larisa I Mazur, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 216 ELM ST
City: Thiensville
State: Wisconsin
ZIP Code: 53092-1602
Phone: (262) 238-9576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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