Individual
SANTO DE JESUS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4925 S 43RD ST, GREENFIELD, WI 53220-4809
(414) 282-7137
Mailing address
4925 S 43RD ST, GREENFIELD, WI 53220-4809
(414) 282-7137
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
26774
WI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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