Individual
MARY MCCARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3200 N 36TH ST, MILWAUKEE, WI 53216-3716
(414) 286-8082
Mailing address
2722 S 48TH ST, MILWAUKEE, WI 53219-3217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79955-030
WI
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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