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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARIONITO N MONTALBO, MD
1155 N MAYFAIR RD
PLANK ROAD CLINIC
MILWAUKEE, WI53226-3421
 Phone: 414-955-5990
 Fax: 414-955-6282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIONITO N MONTALBO · (Male)

NPI Number 1407800543
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 12/11/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
WI License # 45519
WI Medicaid 1407800543
Medicare (Unspecified) 0018D73601
WI Medicare PIN 0357 68-086
Medicare UPIN F83249
Other 004806261S HUMANA
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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