Healthcare Provider Details

I. General information

NPI: 1003895574
Provider Name (Legal Business Name): PETER CURIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N US HIGHWAY 141
CRIVITZ WI
54114-1639
US

IV. Provider business mailing address

515 N US HIGHWAY 141
CRIVITZ WI
54114-1639
US

V. Phone/Fax

Practice location:
  • Phone: 715-854-7050
  • Fax:
Mailing address:
  • Phone: 715-854-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37528-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: