Individual
JOSEPHINE-LIEZL P CUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
53499-020
WI
207W00000X
Ophthalmology Physician
MT189367
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005980
—
WI
Enumeration date
05/21/2008
Last updated
10/21/2024
Update your record
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