Individual
ANGELINA M MONTEMURRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9555 76TH ST, SUITE 2602, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8400
(262) 577-8476
Mailing address
9555 76TH ST, SUITE 2602, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8400
(262) 577-8476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27740
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31388100
—
WI
01
—
389706828E05
ANTHEM
—
Enumeration date
05/27/2006
Last updated
03/13/2008
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