Individual
DR. ANTHONY MACASAET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4230
(608) 637-4214
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4230
(608) 637-4214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-096087
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-096087-5
—
IL
01
—
38712-020
STATE LICENSE
WI
Enumeration date
07/29/2005
Last updated
03/07/2023
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