Individual
DR. MICHAEL DANIEL MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DELHI ST, STE 4100, DUBUQUE, IA 52001-6358
(563) 557-5900
(563) 557-5905
Mailing address
1500 DELHI ST, STE 4100, DUBUQUE, IA 52001-6358
(563) 557-5900
(563) 557-5905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1060969668
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13252
DEANHEALTHCARE NUMBER
IA
01
—
1821061326
NPI
IA
05
—
2188276
—
IA
01
—
55734
INDIVIDUAL WELLMARK NUMBE
IA
01
—
IA0108
JOHN DEERE HEALTH NUMBER
IA
Enumeration date
02/07/2006
Last updated
04/21/2025
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