Theodore G Mackinney MD

NPI 1033162763 - Internal Medicine - 207R00000X

NPI Details
NPI 1033162763
Gender Male
Enumeration Date 05/17/2006
Last Updated 10/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
9200 W WISCONSIN AVE
DEPARTMENT OF INTERNAL MEDICINE
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-6850
Fax (414) 805-6851
Business Location
9200 W WISCONSIN AVE
DEPARTMENT OF INTERNAL MEDICINE
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-6850
Fax (414) 805-6851
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 32030
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According to our database, Dr. Theodore G Mackinney MD NPI is 1033162763, taxonomy code is 207R00000X and license number is 32030, license state is located at Wisconsin. Theodore G Mackinney MD physically located at 9200 W Wisconsin Ave, Milwaukee WI, 53226-3522. NPI Number Theodore G Mackinney MD has the Individual type.

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1033162763 NPI number is provided on an as is basis without warranty of any kind. 1033162763 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore G Mackinney MD are for informational purposes only.