Individual
BEATRIZ SOMOZA-BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2977 COUNTY ROAD CX, PORTAGE, WI 53901
(608) 742-3004
(608) 742-2399
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32769
WI
Other
Enumeration date
03/22/2006
Last updated
02/13/2012
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