Individual
DR. MARCUS RONALD CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
H6 574 CLINICAL SCIENCE CTR, 600 HIGHLAND AVENUE, MADISON, WI 53792-0001
(608) 263-5420
Mailing address
H6 574 CLINICAL SCIENCE CTR, 600 HIGHLAND AVENUE, MADISON, WI 53792-0001
(608) 263-5420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45857-20
WI
207R00000X
Internal Medicine Physician
A90899
CA
2084N0400X
Neurology Physician
Primary
45857-20
WI
2084N0400X
Neurology Physician
A90899
CA
Other
Enumeration date
11/01/2006
Last updated
01/27/2021
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