Individual
ENRIQUE F PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-2430
(608) 741-6798
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-2430
(608) 741-6798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46266-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001254100
MEDICARE A
—
01
—
1265549877
BCBSWI
WI
05
—
1265549877
—
WI
05
—
32956700
—
WI
01
—
PEREZENR
MERCYCARE INSURANCE
WI
Enumeration date
08/23/2006
Last updated
09/11/2012
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