Individual
CARMEN A SCUDIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22823
WI
207R00000X
Internal Medicine Physician
24389
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322592500
—
MN
Enumeration date
09/22/2006
Last updated
12/03/2008
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