Garretto, Mario

Garretto, Mario is an individual health care provider with primary practice located at 6308 8Th Ave Ste 202, Kenosha WI 53143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Garretto, Mario can be contacted via phone (262) 653-5330.

Contact Information

Primary practice address
6308 8Th Ave Ste 202 Kenosha WI 53143
Phone: (262) 653-5330
Fax: (262) 653-5346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25077 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25077 Wisconsin

Profile Details

NPI number 1497701809
LBN Legal business name Garretto, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497701809 NPPES
Wisconsin MEDICAID 30504200

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