Individual
EDWARD MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 N 28TH AVE, WAUSAU, WI 54401-4100
(715) 847-2866
Mailing address
1800 WESTWOOD CENTER BLVD STE 100, WAUSAU, WI 54401-2888
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
68170-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/20/2022
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