Individual
DIANE M. MCCAFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1563
WI
207L00000X
Anesthesiology Physician
Primary
52298
MN
390200000X
Student in an Organized Health Care Education/Training Program
49595
WI
Other
Enumeration date
05/05/2006
Last updated
12/04/2020
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