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NPI Code Detail

MEDICARE: MR. ENEDINO ARESTEGUI CSAC, ICS

MEDICARE: MR. ENEDINO ARESTEGUI CSAC, ICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1328-132WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396980504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ENEDINO ARESTEGUI CSAC, ICS
Provider Business Mailing Address
First Line : 1111 S 6TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 S 6TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2301
Country : US
Telephone Number : 414-643-8530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 02/26/2016

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Directions to “ MR. ENEDINO ARESTEGUI CSAC, ICS” Practice Location

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