Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 62506 | WI |
N | 2080P0208X | Pediatric Infectious Diseases | 62506-20 | WI |
NPI | 1053639823 |
---|---|
Provider Name | Dr. Joseph Anthony Mcbride |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 27/01/2021 |