Individual
JOSEPH H. INTROCASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
333 N COMMERCIAL ST, SUITE 100, NEENAH, WI 54956-2657
(920) 722-1840
(920) 722-7454
Mailing address
333 N COMMERCIAL ST, SUITE 100, NEENAH, WI 54956-2657
(920) 722-1840
(920) 722-7454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036087184
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
53992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087184
—
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
Enumeration date
07/29/2005
Last updated
03/13/2017
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