Most Relevant Information
Provider Data
| NPI Number: | 1003529884 |
| Provider Name: | MACKENZIE LYNN REID AA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 517-17 |
Most Important Dates
| Enumeration Date: | 12/27/2022 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Practice Location Phone/Fax
| Phone: | 4148058700 |
| Fax: | 4142591522 |
Provider Mailing Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Provider Mailing Phone/Fax
| Phone: | 4148058700 |
| Fax: | 4142591522 |