Individual
MICHAEL MCKEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
17 S RIVER, SUITE 254, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267
Mailing address
17 S RIVER SUITE 254, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39264700
—
WI
Enumeration date
02/23/2007
Last updated
07/08/2007
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