Individual
DR. JOHN P MCCUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 ELLIS AVE, ASHLAND, WI 54806-1631
(715) 685-6600
Mailing address
415 ELLIS AVE, ASHLAND, WI 54806-1631
(715) 685-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21777
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337200
—
WI
Enumeration date
05/12/2006
Last updated
07/08/2007
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