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Individual

JOHN M PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2956
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2956

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
37412-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144271263
WI
Enumeration date
05/13/2006
Last updated
11/11/2020
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