Individual
DR. ALDO MARTINEZ VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092811
—
WI
Enumeration date
06/28/2016
Last updated
10/07/2025
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