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Individual

DR. JOHN WILLIAM PATRICK HORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9755
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9755

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301104338
MI
207X00000X
Orthopaedic Surgery Physician
4301104338
MI
207X00000X
Orthopaedic Surgery Physician
Primary
50382-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184653081
MI
01
P01299530
RAILROAD MEDICARE
MI
Enumeration date
07/02/2006
Last updated
03/28/2016
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