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Individual

MR. ERNESTO ERFE BUENCAMINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6308 8TH AVE, SUITE 3090, KENOSHA, WI 53143-5031
(262) 658-1678
(262) 658-2730
Mailing address
6308 8TH AVE, SUITE 3090, KENOSHA, WI 53143-5031
(262) 658-1678
(262) 658-2730

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20272
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093748493
WI
05
31102200
WI
Enumeration date
07/09/2006
Last updated
06/27/2011
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