Individual
ANTONIO DE VILLA SALUD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2323 N LAKE DR, ROOM 4250, MILWAUKEE, WI 53211-4508
(414) 291-1468
(414) 278-2843
Mailing address
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 225-2929
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50455
WI
207RP1001X
Pulmonary Disease Physician
Primary
50455
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093811655
—
WI
Enumeration date
09/14/2006
Last updated
11/09/2016
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