Individual
ROBERT M MCGUCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 PLAZA DR, WAUSAU, WI 54401-4129
(715) 847-3000
(715) 847-3329
Mailing address
2727 PLAZA DR, WAUSAU, WI 54401-4129
(715) 847-3000
(715) 847-3329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33399020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001239110
MEDICARE - HUMANA GOLD
WI
01
—
050059647
MEDICARE RAILROAD
WI
01
—
32126600
MANAGED HEALTH CARE
WI
05
—
32126600
—
WI
01
—
391330887
ASSOCIATES FOR HEALTHCARE
WI
01
—
41799
SECURITY HEALTH MEDICAID
WI
01
—
41799
SECURITY HEALTH PLAN
WV
01
—
MCGUCKEN
WPS
WI
Enumeration date
07/21/2006
Last updated
04/06/2023
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