Individual
JOHN THOMAS MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
247 S NICOLET RD, APPLETON, WI 54914-3938
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036051277
IL
207YX0602X
Otolaryngic Allergy Physician
036051277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051277
—
IL
Enumeration date
05/17/2006
Last updated
04/01/2025
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