Individual
ROBERT C MCMAHON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
106 E 2ND ST, WINONA, MN 55987-3410
(507) 454-4640
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1471
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38629600
—
WI
Enumeration date
05/25/2006
Last updated
07/08/2007
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