NPI Profile for MAKENNA E ASH in MADISON, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1972172161 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/22/2021 | |
| Last updated | 06/20/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAKENNA E ASH
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