Individual
DR. CARLOS E FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2717 N GRANDVIEW BLVD STE 103, WAUKESHA, WI 53188-1672
(262) 565-6202
Mailing address
606 W WISCONSIN AVE UNIT 2000, MILWAUKEE, WI 53203-1930
(773) 842-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207P00000X
Emergency Medicine Physician
Primary
309183
WI
207P00000X
Emergency Medicine Physician
Primary
51800-20
WI
Other
Enumeration date
06/26/2008
Last updated
06/10/2026
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