Whalio Doctors

NPI 1255494852

Ernesto Buencamino MD Sc

Organisation Internal Medicine Physician Kenosha, WI

Practice location

Address
3734 7th Ave Suite 11, Kenosha, WI 53140-5525
Phone
(262) 658-1678
Fax
(262) 658-2730

Authorised official

Name
Ernesto E Buencamino
Title
Owner
Phone
(262) 658-1678

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 20272 (WI)

Registry record

NPI
1255494852
Entity type
Organization
NPI issued
18 Dec 2006
Record last updated
22 Aug 2020

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.