Individual
SALLY G. MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 826-2710
Mailing address
700 S PARK ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33401
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32338600
—
WI
Enumeration date
01/18/2006
Last updated
09/24/2014
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