NPI 1063456424

Genesis Medical Center of Kenosha, S.C.

Organisation Internal Medicine Physician Kenosha, WI

Practice location

Address: 1020 35th St, Kenosha, WI 53140-1902
Phone: (262) 652-3500
Fax: (262) 925-8353

Authorised official

Name: Jean Garretto
Title: Office Manager
Phone: (262) 652-3500

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Wisconsin →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Wisconsin →

Rheumatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RR0500X

Registry record

NPI: 1063456424
Entity type: Organization
NPI issued: 16 Jun 2006
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.