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Individual

JAMES L MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3111 W RAWSON AVE, SUITE 225, FRANKLIN, WI 53132-9417
(414) 761-3100
(414) 761-3111
Mailing address
3111 W RAWSON AVE, SUITE 225, FRANKLIN, WI 53132-9417
(414) 761-3100
(414) 761-3111

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25990
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31778100
WI
Enumeration date
03/14/2006
Last updated
09/29/2011
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