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John Malcolm Mckichan, MD
Emergency Medical Services (Emergency Medicine) Physician in Hayward, Wisconsin
NPI 1548378367

John Malcolm Mckichan is a Emergency Medical Services (Emergency Medicine) Physician based in Stone Lake, WI and is specialized in Emergency Medical Services. John Malcolm Mckichan practices in Hayward, WI and has the professional credentials of MD. The NPI Number for John Malcolm Mckichan is 1548378367 and holds a License No. 17740 (Wisconsin).

The current practice location address for John Malcolm Mckichan is 11040 N State Road 77, Hayward, WI and can be reached out via phone at 715-934-4321.

Location: 11040 N State Road 77, Hayward, WI, 54876-8907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548378367
Provider Name
John Malcolm Mckichan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11040 N State Road 77, Hayward, WI, 54876-8907
Phone Number
715-934-4321
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17740 01 WI LICENSE NUMBER
BM6733530 01 WI D.E.A. NUMBER
institution
Provider Business Practice Location Address Details
Address
11040 N State Road 77
City
Hayward
State
Wisconsin
Zip
54843-6391
Phone Number
715-934-4321
Fax Number
person
Provider Business Mailing Address Details
Address
11040 N State Road 77
City
Hayward
State
Wisconsin
Zip
54843-6391
Phone Number
715-934-4321
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
17740 (Wisconsin)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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