Individual
ARTHUR CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC., SUSSEX, WI 53089-4383
(262) 820-3093
(262) 532-9598
Mailing address
N57W42950 N CORPORATE CIRCLE, PROHEALTH CARE MEDICAL ASSOCIATES INC., SUSSEX, WI 53089-4383
(262) 820-3093
(262) 532-9598
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28637
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30844600
—
WI
Enumeration date
02/07/2006
Last updated
11/23/2011
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