Mary M Determan (NPI# 1003948522, PAC ID# 8022089689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1003948522 |
| PAC ID by PECOS | 8022089689 |
| Professional Enrollment ID | I20070720000040 |
| Full Name | Mary M Determan |
| Organization Legal Name | MARY DETERMAN MSW, LLC |
| Address |
5757 W Oklahoma Ave Suite 203 Milwaukee WI 53219-4303 |
| Phone Number | 4144316400 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0345211991 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5757 W Oklahoma Ave, Suite 203, Milwaukee, WI 53219-4303 | 4144316400 | MARY DETERMAN MSW, LLC |
| Organization Legal Name | MARY DETERMAN MSW, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Danielle Fockel | Clinical Social Worker | Mary Determan Msw, LLC | 5757 W Oklahoma Ave, Suite 203, Milwaukee, WI 53219-4303 |
| Street Address |
5757 W OKLAHOMA AVE SUITE 203 |
| City | MILWAUKEE |
| State | WI |
| Zip | 53219-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Danielle Fockel | Clinical Social Worker | Mary Determan Msw, LLC | 5757 W Oklahoma Ave, Suite 203, Milwaukee, WI 53219-4303 |
| Hak-joong Kim | Endocrinology | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Marie Derrick | Chiropractic | 6508 W Lincoln Ave, West Allis, WI 53219-2045 | |
| Monica R Casey | Chiropractic | 7639 W Beloit Rd, West Allis, WI 53219-2447 | |
| Karin D Alexander | Physician Assistant | West Allis Urgent Care Walk In Clinic Corp | 7516 W Oklahoma Ave, Milwaukee, WI 53219-2860 |
| Gena M Mosconi | Nurse Practitioner | Aurora Quick Care, LLC | 6030 W Oklahoma Ave, Milwaukee, WI 53219-4133 |
| City | MILWAUKEE |
| Zip Code | 53219 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MILWAUKEE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mary M Determan.
| 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.