Search › Wisconsin › 163WC0200X

Stephen Mekkattil

NPI 1801615331 · on the registry since 2024

Practice

Address
835 Merritt Ave Apt 103
Oshkosh, WI 54901
Phone
(516) 830-0480

Registry record

Primary taxonomy
163WC0200X
163WC0200X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-10

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