Individual
DR. JOE M. JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8085 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 257-5100
Mailing address
W180N8085 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 257-5100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036106697
IL
207L00000X
Anesthesiology Physician
Primary
51130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106697
—
IL
01
—
091100
HEALTH ALLIANCE
—
05
—
1669404968
—
WI
Enumeration date
07/07/2006
Last updated
12/06/2016
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