Individual
CRISTINO C CANGA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 1030, MILWAUKEE, WI 53215-3669
(414) 908-6500
(414) 385-2980
Mailing address
W129N7055 NORTHFIELD DR, GASTROENTEROLOGY, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-3339
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
40832-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588631253
—
WI
Enumeration date
03/02/2006
Last updated
03/20/2017
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