| Leonardo Montemurro Service Corporation | |
|
9555 76th St Ste 2601 Kenosha WI 53158-1984 | |
| (262) 945-7557 | |
| (262) 577-8476 |
| Full Name | Leonardo Montemurro Service Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9555 76th St, Kenosha, Wisconsin |
| Authorized Official Name and Position | Leonardo D Montemurro (PRESIDENT) |
| Authorized Official Contact | 2629457557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonardo Montemurro Service Corporation 9555 76th St Ste 2601 Kenosha WI 53158-1984 Ph: (262) 945-7557 | Leonardo Montemurro Service Corporation 9555 76th St Ste 2601 Kenosha WI 53158-1984 Ph: (262) 945-7557 |
| NPI Number | 1558804526 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558804526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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