Celestino M. Perez Md Sc | |
126 E Pier Street Port Washington WI 53074-0006 | |
(262) 284-2636 | |
(262) 284-2722 |
Full Name | Celestino M. Perez Md Sc |
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Speciality | Internal Medicine |
Location | 126 E Pier Street, Port Washington, Wisconsin |
Authorized Official Name and Position | Celestino M Perez (PRESIDENT) |
Authorized Official Contact | 2622842636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celestino M. Perez Md Sc 126 E Pier Street P O Box 6 Port Washington WI 53074-0006 Ph: (262) 284-2636 | Celestino M. Perez Md Sc 126 E Pier Street Port Washington WI 53074-0006 Ph: (262) 284-2636 |
NPI Number | 1629198007 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 03/19/2012 |
Identifier | Type | State | Issuer |
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1629198007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20479 (Wisconsin) | Primary |