Individual
PERKA IORDANOVA GUENEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8945
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-121159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205934254
—
WI
Enumeration date
09/20/2006
Last updated
04/29/2021
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