| Carolina G. Conti, M.d., S.c. | |
|
756 N 35th St Suite 100 Milwaukee WI 53208-3360 | |
| (414) 431-2888 | |
| (414) 431-4288 |
| Full Name | Carolina G. Conti, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 756 N 35th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Carolina G Conti (PRESIDENT) |
| Authorized Official Contact | 4144312888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina G. Conti, M.d., S.c. 756 N 35th St Suite 100 Milwaukee WI 53208-3360 Ph: (414) 431-2888 | Carolina G. Conti, M.d., S.c. 756 N 35th St Suite 100 Milwaukee WI 53208-3360 Ph: (414) 431-2888 |
| NPI Number | 1215037155 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/31/2012 |
| Medicare PECOS PAC ID | 9436140241 |
|---|---|
| Medicare Enrollment ID | O20040520000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215037155 | NPI | - | NPPES |
| 21275800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolina G Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340766 PECOS PAC ID: 8123019940 Enrollment ID: I20040520000974 |
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