Govier, Mary A

Govier, Mary A is an individual health care provider with primary practice located at 1900 Woodland Dr , Manitowoc WI 54220-9662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Govier, Mary A can be contacted via phone (920) 320-6212.

Contact Information

Primary practice address
1900 Woodland Dr Manitowoc WI 54220-9662
Phone: (920) 320-6212
Fax: (920) 684-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23432 Wisconsin

Profile Details

NPI number 1073621199
LBN Legal business name Govier, Mary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Sep 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073621199 NPPES
Wisconsin Other 100003091 WEA
Wisconsin Other 110112678 WEA
Wisconsin Other 9314 WEA
Wisconsin Other B53179 WEA
Wisconsin Other 23432 WEA
Wisconsin MEDICAID 30344000 WEA
Wisconsin Other 390806395002 WEA

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