Individual
DR. JOSEPH M MILITOLLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 WARREN ST, STE 218, BEAVER DAM, WI 53916-3062
(920) 887-0379
(920) 887-0382
Mailing address
130 WARREN ST, STE 218, BEAVER DAM, WI 53916-3062
(920) 887-0379
(920) 887-0382
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31057600
—
WI
Enumeration date
09/22/2005
Last updated
07/08/2007
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