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1255389755
DANIEL T. MCKENNA
GREEN BAY, WI
NPI
1255389755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 01066803A)
Additional Taxonomies
208600000X Surgery
(Licence: WI 48301)
Enumeration Date
2006-05-05
Last Update Date
2016-03-28
Business Address
-- DANIEL T. MCKENNA M.D.
2845 GREENBRIER RD STE 230
GREEN BAY, WI 54311-6519
Phone number: 920-288-8250
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Mailing Address
-- DANIEL T. MCKENNA M.D.
164 N BROADWAY
GREEN BAY, WI 54303-2728
Phone number:
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