LARISA I MAZUR

THIENSVILLE, WI
NPI1861565202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A91296)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. LARISA I MAZUR MD
216 ELM ST
THIENSVILLE, WI 53092-1602
Phone number: 262-238-9576
Mailing Address
Dr. LARISA I MAZUR MD
216 ELM ST
THIENSVILLE, WI 53092-1602
Phone number: 262-238-9576
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