Provider Demographics
NPI:1245282185
Name:PAPP, MARY ANNE M (DO)
Entity type:Individual
Prefix:MS
First Name:MARY ANNE
Middle Name:M
Last Name:PAPP
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Gender:F
Credentials:DO
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:DIVISION OF CARDIOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6633
Mailing Address - Fax:414-805-6280
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:DIVISION OF CARDIOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6633
Practice Address - Fax:414-805-6280
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-01-25
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Provider Licenses
StateLicense IDTaxonomies
WI45843207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
005806261VOtherHUMANA
WI1245282185Medicaid
E33475Medicare UPIN
WI680860567Medicare PIN
WI065P 73-601Medicare PIN