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Individual

MARC R MCKINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
504 N MACARTHUR AVE, PANAMA CITY, FL 32401-3636
(850) 769-2158
Mailing address
120 W 22ND ST STE 300, OAK BROOK, IL 60523-4071
(630) 573-5000
(630) 368-0280

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.002415
OH
207RN0300X
Nephrology Physician
34009847
OH
207RN0300X
Nephrology Physician
Primary
OS14763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66174
OH
Enumeration date
12/26/2007
Last updated
04/29/2025
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