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Individual

MONICA B MUSETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3201 S 16TH ST STE 1020, MILWAUKEE, WI 53215-4532
(414) 643-7337
(920) 563-7705
Mailing address
3201 S 16TH ST STE 1020, MILWAUKEE, WI 53215-4532
(414) 643-7337
(414) 643-1766

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012020346
MO
208000000X
Pediatrics Physician
Primary
61077-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193620001
AR
01
431560263
TRICARE
MO
01
P01085141
MCR RR
MO
Enumeration date
06/26/2012
Last updated
10/19/2020
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