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Individual

MARIANO F DEGUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3734 7TH AVE, SUITE 1, KENOSHA, WI 53140
(262) 654-0226
(262) 654-0232
Mailing address
3734 7TH AVENUE, SUITE 1, KENOSHA, WI 53140
(262) 654-0226
(262) 654-0232

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
WI18345
WI

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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