IndividualActive
Aykarethu Mammen, MD
NPI 1417993791 · Surgery Physician · Cedarburg, WI
Provider details
- NPI number
- 1417993791
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20052 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4922 Columbia Rd
Cedarburg, WI 53012-9188
Phone: (262) 375-2829
Fax: (262) 375-8513
Approximate (ZIP-level) locationGet directions
Mailing address
4922 Columbia Rd
Cedarburg, WI 53012-9188
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.