Individual
DR. JOHN P MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39115
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32477000
—
WI
Enumeration date
06/03/2006
Last updated
12/10/2023
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