Individual
DR. SANDRA KATHLEEN MAHKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 S SUPERIOR ST, MILWAUKEE, WI 53207-3064
(414) 704-6225
Mailing address
3050 S SUPERIOR ST, MILWAUKEE, WI 53207-3064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33890-020
WI
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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