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Contact Information

KAREN RONQUILLO, M.S., M.D.
20611 WATERTOWN RD STE C
WAUKESHA, WI53186-1871
 Phone: 262-333-3173
 Fax: 262-333-3173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Preventive Medicine

2083C0008X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KAREN RONQUILLO · (Female)

NPI # 1467757948
Status Active
Credentials M.S., M.D.
Entity Individual
Enumeration date 01/14/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ACN 378
  • WI License # 55146-020
  • WI License # 55146-20
  • FL Medicaid 003237000
  • FL Other ET905Z MEDICARE PTAN
Hospital affiliation(s) Not Available
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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