Individual
DR. ANTONIO IPPOLITO MONTEMURRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9697 SAINT CATHERINES DR STE 300, PLEASANT PRAIRIE, WI 53158-2118
(262) 656-3338
(262) 656-3368
Mailing address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-3313
(262) 653-5850
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
016005538
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1031-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700126562
—
WI
01
—
K400163324
MEDICARE
WI
Enumeration date
02/15/2013
Last updated
07/21/2022
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