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General NPI Number Information
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NPI Number | 1902876071
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Entity Type | Individual
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Provider Name | JUAN MIGUEL LIMJOCO MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | W180N8085 TOWN HALL RD DEPT OF
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3518
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Country | US
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Telephone | 262-251-1000
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Fax |
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Provider Business Mailing Address
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Address Line | W180N8085 TOWN HALL RD DEPT OF
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3518
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Country | US
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Telephone | 262-251-1000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 3712
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 3712
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License Number State | WI
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