Patrick D Macken
Nephrologist
1425 Elderberry Ln
Eau Claire
, Wisconsin 54701-9425
Patrick D Macken
Nephrologist
1425 Elderberry Ln
Eau Claire
, Wisconsin 54701-9425
(715) 832-9801
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Patrick D Macken
- 1425 Elderberry Ln
- Eau Claire, WI
- Zip : 54701-9425
- Phone : (715) 832-9801
Second Address
- Patrick D Macken
- 1425 Elderberry Ln
- Eau Claire, WI
- Zip : 54701-9425
- Phone : (715) 832-9801
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 20307 | WI |
National Provider Identifier
| NPI | 1003872417 |
|---|---|
| Provider Name | Patrick D Macken |
| First Address | Eau Claire, WI 54701-9425 |
| Second Address | Eau Claire, WI 54701-9425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 09/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31073900 | (05) | WI |
| B54732 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.