Individual provider · Type 1 NPI

Annemarie Faustina McMahon

Surgical Physician Assistant · Madison, WI

NPI number 1245953728 Active

Practice location

1211 Fish Hatchery Rd
Madison, WI 53715-1909

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X808623 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1245953728

Annemarie Faustina McMahon's National Provider Identifier is 1245953728, issued on Sep 20, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Nov 25, 2025.