Individual
DR. KETH MACKENZIE PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 53792
(608) 263-8114
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
63387
WI
Other
Enumeration date
06/18/2009
Last updated
01/11/2021
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