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NPI Code Detail

MEDICARE: MONSERRAT PATINO

MEDICARE:   MONSERRAT  PATINO
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
1183500000XPharmacist20633-40WI

General Provider Information

NPI Number : 1447847470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONSERRAT PATINO
Provider Business Mailing Address
First Line : 464 CARDINAL LN
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9569
Country : US
Telephone Number : 920-661-9355
Fax Number :
Provider Business Practice Location Address
First Line : 464 CARDINAL LN
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9569
Country : US
Telephone Number : 920-661-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2020
Last Update Date : 12/23/2020

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Directions to “ MONSERRAT PATINO ” Practice Location

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