Individual
LEONARDO MONTEMURRO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6121 GREEN BAY RD STE 100, KENOSHA, WI 53142-2931
(262) 945-7557
(262) 727-0841
Mailing address
6121 GREEN BAY RD STE 100, KENOSHA, WI 53142-2931
(262) 945-7557
(262) 727-0841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40212
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32501700
—
WI
01
—
390007566
MEDICARE RAILROAD
—
Enumeration date
05/26/2006
Last updated
10/09/2018
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