Individual
DR. JUAN MIGUEL LIMJOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W180N8085 TOWN HALL RD DEPT OF, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Mailing address
W180N8085 TOWN HALL RD DEPT OF, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
3712
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3712
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383413
ANTHEM BCBS
IN
05
—
200353660
—
IN
01
—
P00297043
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
12/08/2023
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