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Individual

DR. DANIEL J MCMAHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-7279
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301069880
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33327100
MEDICAID
WI
05
4238339
MI
01
44988020
MEDICARE
WI
Enumeration date
08/11/2006
Last updated
10/02/2018
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