Individual
DR. MACKENZIE CAPSHAW ASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036145550
IL
207N00000X
Dermatology Physician
Primary
72667-20
WI
Other
Enumeration date
06/20/2013
Last updated
01/26/2021
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