Individual
PATRICK D MACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 ELDERBERRY LN, EAU CLAIRE, WI 54701-9425
(715) 832-9801
Mailing address
1425 ELDERBERRY LN, EAU CLAIRE, WI 54701-9425
(715) 832-9801
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20307
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31073900
—
WI
Enumeration date
04/25/2006
Last updated
01/09/2013
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