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NPI Code Detail

MEDICARE: JOAQUIN SOLIS MD

MEDICARE:   JOAQUIN  SOLIS  MD
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
1207RC0000XCardiovascular Disease Physician41485020WI
2207RI0011XInterventional Cardiology Physician41485WI

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 : 1649221516
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAQUIN SOLIS MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 414-649-3530
Fax Number :
Provider Business Practice Location Address
First Line : 2801 W KK RIVER PKWY STE 880
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3678
Country : US
Telephone Number : 414-649-3530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 11/09/2023

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