Stephen K Mekkattil
Registered Nurse, Critical Care Medicine in Oshkosh, WI. Individual provider (NPI-1).
NPI number1801615331
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1801615331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Stephen K Mekkattil
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2024
- Certification date
- Oct 5, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 1104909 | WI | Yes |
Practice location
835 Merritt Ave Apt 103Oshkosh, WI 54901-5373
Phone 516-830-0480
Mailing address
835 Merritt Ave Apt 103Oshkosh, WI 54901-5373
Phone 516-830-0480
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