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Jennifer Mavis
NPI 1205264843 · on the registry since 2013
Practice
- Address
- 501 Schabow St
Gresham, WI 54128 - Phone
- (715) 787-3211
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin