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Organization
GENESIS MEDICAL CENTER OF KENOSHA, S.C.
Active
Organization
GENESIS MEDICAL CENTER OF KENOSHA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN GARRETTO (OFFICE MANAGER)
(262) 652-3500
Entity
Organization
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1902
(262) 652-3500
(262) 925-8353
Mailing address
1020 35TH ST, KENOSHA, WI 53140-1902
(262) 652-3500
(262) 925-8353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
06/16/2006
Last updated
04/20/2008
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