Individual
MCKINLEY PETTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC, MILWAUKEE, WI 53212-2709
(414) 372-8080
Mailing address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC, MILWAUKEE, WI 53212-2709
(414) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21443
WI
208600000X
Surgery Physician
21443
WI
208D00000X
General Practice Physician
21443
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40950100
—
WI
Enumeration date
09/02/2006
Last updated
09/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us