Individual
MARIO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
(414) 271-8045
Mailing address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
(414) 271-8045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
167664-030
WI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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