John Malcolm Mckichan in Hayward - Emergency Medical Services

John Malcolm Mckichan - NPI 1548378367

John Malcolm Mckichan is a Emergency Medical Services in Hayward, Wisconsin. John Malcolm Mckichan practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for John Malcolm Mckichan is 1548378367. The last update date is 2007-07-08.

John Malcolm Mckichan's current location address is 11040 N State Road 77, Hayward, Wisconsin. You can contact this provider via phone number 7159344321. The mailing address for John Malcolm Mckichan is 11040 N State Road 77, Hayward, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name John Malcolm Mckichan
Address 11040 N State Road 77, Hayward, Wisconsin
Phone Number 7159344321
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1548378367
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11040 N State Road 77
City Hayward
State Wisconsin (WI)
Post Code 548436391
Phone Number 7159344321
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 17740
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17740 WI LICENSE NUMBER
BM6733530 WI D.E.A. NUMBER

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FAQs about John Malcolm Mckichan

Could you provide the complete address where John Malcolm Mckichan is physically located?

The John Malcolm Mckichan is situated at the following address: 11040 N State Road 77, Hayward, WI 548436391.

Could you please share the complete physical location address where John Malcolm Mckichan's facilities are situated?

The facilities of John Malcolm Mckichan are physically located at the following address: 11040 N State Road 77, Hayward, WI, 548436391.

On what date was the 1548378367 assigned to John Malcolm Mckichan?

The John Malcolm Mckichan was issued its 1548378367 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the John Malcolm Mckichan receive the assignment of its 1548378367 from the Centers for Medicare & Medicaid Services?

The John Malcolm Mckichan was issued its 1548378367 by the Centers for Medicare & Medicaid Services on 2006-08-29.

As of what date was the information pertaining to John Malcolm Mckichan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Malcolm Mckichan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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