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Individual

DR. JOHN D. PENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
DEPARTMENT OF ANESTHESIOLOGY, F8/356 CLINICAL SCIENCE CENTER. 600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-6382
(608) 262-6247
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54075
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
54075
WI

Other

Enumeration date
08/11/2006
Last updated
06/19/2018
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