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Individual
DR. ALEXANDER C MACKINNON JR.
Active
Individual
DR. ALEXANDER C MACKINNON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
036.118124
IL
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
54826
WI
207ZP0101X
Anatomic Pathology Physician
036.118124
IL
207ZP0101X
Anatomic Pathology Physician
Primary
38623
AL
207ZP0101X
Anatomic Pathology Physician
54826
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710214820
—
WI
Enumeration date
11/10/2009
Last updated
09/24/2019
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