Individual
DR. MARIO KAPETSONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
734 N JACKSON ST, MILWAUKEE, WI 53202-4602
(414) 277-6500
(414) 224-1365
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 274-6271
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43438
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34283400
—
WI
Enumeration date
09/29/2005
Last updated
01/10/2012
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