Individual
MARY MARGARET MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 823-5161
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 823-5161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014485
NY
363A00000X
Physician Assistant
Primary
3014
WI
Other
Enumeration date
02/24/2011
Last updated
10/03/2024
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