Individual
MARLON BRANDON MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
901 W WINNEBAGO ST, APT 218, MILWAUKEE, WI 53205-2561
(414) 975-0315
Mailing address
PO BOX 05441, MILWAUKEE, WI 53205-0441
(414) 975-0315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310796-031
WI
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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