Individual
MAURICIO INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9432
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
43675
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
47638
WI
Other
Enumeration date
03/22/2006
Last updated
09/15/2020
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