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Individual

WARREN GREGORY VONROENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4491
(414) 203-4526
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 327-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19051
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30919300
WI
01
P00451311
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
09/15/2011
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