Individual
VENESHIA NACOLE' MCKINNEY-WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Mailing address
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57604
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194041574
—
WI
Enumeration date
04/11/2010
Last updated
08/13/2013
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