| Mandi Lynne Maronn, MD | |
|
16985 W Bluemound Rd, Brookfield, WI 53005-5909 | |
| (262) 641-8400 | |
| Not Available |
| Full Name | Mandi Lynne Maronn |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 16985 W Bluemound Rd, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619046026 | NPI | - | NPPES |
| 100040549 | Medicaid | WI | |
| 194427405 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | M8812 (Texas) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | M8812 (Texas) | Secondary |
| 207N00000X | Dermatology | 48358 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Lynne Maronn, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 532-6906 | Mandi Lynne Maronn, MD 16985 W Bluemound Rd, Brookfield, WI 53005-5909 Ph: (262) 641-8400 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Dr. Manish J Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Thomas Joseph Russell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |