Individual
DR. DENNYS E MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51273-020
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
51273
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34988900
—
WI
01
—
P00671703
RR MEDICARE
WI
Enumeration date
02/25/2008
Last updated
10/05/2011
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