Individual
PATRICK O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
888 THACKERAY TRL, OCONOMOWOC, WI 53066-4342
(262) 560-9700
Mailing address
888 THACKERAY TRL, OCONOMOWOC, WI 53066-4342
(262) 560-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43409
WI
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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