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Individual

CARLA ANDREINA MONTERO CONROTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2890 LINEVILLE RD, SUAMICO, WI 54313-7202
(920) 662-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82048
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100239096
WI
Enumeration date
08/06/2020
Last updated
08/09/2023
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