DOUGLAS MAZUR

WEST BEND, WI
NPI1710097241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4798)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- DOUGLAS MAZUR MS PT
224 BUTTERNUT ST
WEST BEND, WI 53095-4910
Phone number: 262-365-0650
Mailing Address
-- DOUGLAS MAZUR MS PT
11501 N PARKVIEW DR
MEQUON, WI 53092-1920
Phone number: 262-365-0650