Individual
DR. MICHAEL PATRICK KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 PINE RIDGE BLVD STE 305A, WAUSAU, WI 54401-4124
(715) 847-2626
Mailing address
2170 SERENE CIR, BROOKFIELD, WI 53045-4869
(608) 219-8045
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
56370-20
WI
Other
Enumeration date
04/21/2010
Last updated
08/14/2014
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