Individual
CATHERINE C MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7007 N RANGE LINE RD, GLENDALE, WI 53209-2620
(414) 352-3341
(414) 247-4588
Mailing address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35616
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32310600
—
WI
Enumeration date
05/30/2006
Last updated
09/02/2010
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