Perez-Marquardt, Iris Theodora Cinco

Perez-Marquardt, Iris Theodora Cinco is an individual health care provider with primary practice located at 107 E Highland Dr , Oconto Falls WI 54154-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perez-Marquardt, Iris Theodora Cinco can be contacted via phone (920) 846-3092.

Contact Information

Primary practice address
107 E Highland Dr Oconto Falls WI 54154-1002
Phone: (920) 846-3092
Fax: (920) 846-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38426-020 Wisconsin

Profile Details

NPI number 1306825872
LBN Legal business name Perez-Marquardt, Iris Theodora Cinco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 18th, 2022 - about 4 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 1306825872 NPPES
Wisconsin MEDICAID 32348900

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