Individual
DR. JOHN S CANTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17100 W NORTH AVE, SUITE 200, BROOKFIELD, WI 53005
(262) 784-3800
(262) 784-7936
Mailing address
801 YORK STREET, MANITOWOC, WI 54220-4630
(920) 663-9146
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23629020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23629
STATE LICENSE
WI
05
—
30381500
—
WI
Enumeration date
02/22/2006
Last updated
03/07/2023
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