Mary J Reznicek (NPI# 1306871710, PAC ID# 2264345560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1306871710 |
| PAC ID by PECOS | 2264345560 |
| Professional Enrollment ID | I20041022000938 |
| Full Name | Mary J Reznicek |
| Organization Legal Name | GREAT LAKES PATHOLOGISTS SC |
| Address |
2629 N 7th St Aurora Sheboygan Memorial Medical C Sheboygan WI 53083-4932 |
| Phone Number | 9204515699 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1985 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7315850682 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520139 | WEST ALLIS MEMORIAL HOSPITAL |
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520102 | AURORA LAKELAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 | 9204515699 | GREAT LAKES PATHOLOGISTS SC |
| 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 | 4143287950 | GREAT LAKES PATHOLOGISTS SC |
| Organization Legal Name | GREAT LAKES PATHOLOGISTS SC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanon R Lacy | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Ross A Worthington | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Matthew L Snyder | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Amanda L Wilson | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Elizabeth Mae Fowler | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Amanda L Meindl | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Margaret M Anderson | Pathology | Great Lakes Pathologists Sc | 975 Port Washington Rd, Aurora Medical Center Grafton, Grafton, WI 53024-9201 |
| Sherri J Mann | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Karin L Gerdisch | Pathology | Great Lakes Pathologists Sc | 8901 W Lincoln Ave, West Allis Memorial Hospital, West Allis, WI 53227-2409 |
| Virginia L Wallace | Pathology | Great Lakes Pathologists Sc | 1032 E Sumner St, Aurora Medical Center Hartford, Hartford, WI 53027-1608 |
| Street Address |
2629 N 7TH ST AURORA SHEBOYGAN MEMORIAL MEDICAL C |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53083-4932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanon R Lacy | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Lindsey Kay Rozewicz | Nurse Practitioner | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Peter B Michon | Certified Registered Nurse Anesthetist (crna) | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Sree Ramya Punukollu | Hospitalist | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Amanda L Wilson | Pathology | Great Lakes Pathologists Sc | 2629 N 7th St, Aurora Sheboygan Memorial Medical C, Sheboygan, WI 53083-4932 |
| Hillary Marie Ahola | Physician Assistant | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Adam N Erickson | Physician Assistant | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Adeel Pervez | Internal Medicine | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Kristopher Wnek | Emergency Medicine | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Kevin M Johnson | Internal Medicine | Aurora Medical Group Inc | 2629 N 7th St, Sheboygan, WI 53083-4932 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Portmann | Chiropractic | Varish Chiropractic Clinics LLC | 516 S Wisconsin Dr, Howards Grove, WI 53083-1261 |
| Wendy L Varish | Chiropractic | Varish Chiropractic Clinics LLC | 516 S Wisconsin Dr, Howards Grove, WI 53083-1261 |
| Erik T Butzen | Chiropractic | Varish Chiropractic Clinics LLC | 516 S Wisconsin Dr, Howards Grove, WI 53083-1261 |
| Catherine M Best | Family Medicine | Aurora Medical Group Inc | 620 S Wisconsin Dr, Howards Grove, WI 53083-1263 |
| Abby M Safranski | Family Medicine | Aurora Medical Group Inc | 620 S Wisconsin Dr, Howards Grove, WI 53083-1263 |
| Kristie L Thieme | Optometry | David W Kisiolek Od Sc | 300 Audubon Rd, Howards Grove, WI 53083-1288 |
| David W Kisiolek | Optometry | David W Kisiolek Od Sc | 300 Audubon Rd, Howards Grove, WI 53083-1288 |
| Corinne S Beiersdorf | Optometry | David W Kisiolek Od Sc | 300 Audubon Rd, Howards Grove, WI 53083-1288 |
| Amy J Champlin | Physical Therapy | Sundance Rehabilitation LLC | 4221 Kadlec Dr, Sheboygan, WI 53083-1777 |
| Jennifer L Dulmes | Occupational Therapy | Sundance Rehabilitation LLC | 4221 Kadlec Dr, Sheboygan, WI 53083-1777 |
| Find all physicians in zip 53083 | |||
| City | SHEBOYGAN |
| Zip Code | 53083 |
| Specialty | PATHOLOGY |
| City + Specialty | SHEBOYGAN + PATHOLOGY |
Please comment or provide details below to improve the information on Mary J Reznicek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.