Individual
ETHAN LAGHI MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3153
(608) 263-8090
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35.150824
OH
208200000X
Plastic Surgery Physician
Primary
73015-20
WI
Other
Enumeration date
05/28/2018
Last updated
08/28/2025
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