Organization
MATHEW MCCARTHY, MD, SC
Active
Organization
MATHEW MCCARTHY, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW SEAN MCCARTHY M.D. (PRESIDENT)
(262) 842-0538
Entity
Organization
Contact information
Practice address
712 55TH ST, KENOSHA, WI 53140-6506
(262) 842-0538
Mailing address
5407 8TH AVE, KENOSHA, WI 53140-3715
(262) 657-7188
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
49892
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34737900
—
WI
Enumeration date
03/07/2007
Last updated
08/03/2012
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