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Individual

VERA V MARTONITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-8827
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
(920) 303-8827

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01074882A
IN
207Q00000X
Family Medicine Physician
Primary
55349
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100014772
WI
Enumeration date
07/25/2008
Last updated
09/24/2024
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