Individual
MONICA J PESAVENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 S MAIN ST, RIVER FALLS, WI 54022-2452
(715) 425-6701
Mailing address
319 S MAIN ST, RIVER FALLS, WI 54022-2452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51672
WI
207Q00000X
Family Medicine Physician
ME98845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35314200
—
WI
Enumeration date
02/07/2008
Last updated
02/08/2022
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