Individual
MCKENZIE THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3053
(920) 887-9272
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74778
WI
Other
Enumeration date
04/13/2019
Last updated
11/15/2022
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