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Individual

DR. JOHN MARTYN OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81077-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216604
WI
01
81077-20
MEDICINE AND SURGERY LICENSE
WI
Enumeration date
04/06/2018
Last updated
12/16/2025
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