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DR. LESLIE M GIMENEZ MD

Allergy and Immunology

Milwaukee, Wisconsin

Provider NPI: 1194776971

Provider Information:
DR. LESLIE M GIMENEZ MD


Practice Location:
9000 W WISCONSIN AVE ALLERGY AND IMMUNOLOGY MILWAUKEE, WI 53226 US
Tel: 414-266-6840  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
WI39048

Other Provider Identifiers:

IssuerNumberStateType
1194776971WI05
HUMANA004000215M01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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