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Individual

DR. CARL J PELUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44073
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003873548
WI
Enumeration date
04/27/2006
Last updated
09/22/2022
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