Individual
DR. SUNIL PENESETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14938
NH
207RC0000X
Cardiovascular Disease Physician
270212
NY
207RC0000X
Cardiovascular Disease Physician
Primary
69193-20
WI
Other
Enumeration date
07/15/2010
Last updated
12/23/2020
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