PUNNOOSE MACKIEL

WAUKESHA, WI
NPI1174535470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  27717)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
Dr. PUNNOOSE MACKIEL M.D.
1240 RIDGE RD
WAUKESHA, WI 53186-1425
Phone number: 262-574-9342
Mailing Address
Dr. PUNNOOSE MACKIEL M.D.
1240 RIDGE RD
WAUKESHA, WI 53186-1425
Phone number: 262-574-9342
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