Individual
RICHARD F MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6801
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29324
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30043200
—
WI
01
—
P01308203
RAILROAD MEDICARE
WI
Enumeration date
05/12/2006
Last updated
10/21/2020
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