Individual
DR. MATHEW SEAN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3536 52ND ST, KENOSHA, WI 53144-2662
(262) 657-1090
Mailing address
3536 52ND ST, KENOSHA, WI 53144-2662
(262) 842-0538
(262) 842-0539
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
222350
NY
2084P0800X
Psychiatry Physician
Primary
49892
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34737900
—
WI
Enumeration date
11/10/2006
Last updated
11/30/2021
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