# MR. ALFREDO ALTAMIRANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699876862
- **Gender:** Man
- **Credential:** P.A. - C, MPAS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 8526-23 | WI | — |
| 363AS0400X | Surgical Physician Assistant | 10572 | MN | Yes |
| 363AS0400X | Surgical Physician Assistant | 2632 | AZ | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1699876862 | — | WI |