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1891779005
PRIMITIVO I REYNALDO
MILWAUKEE, WI
NPI
1891779005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 20320-020)
Enumeration Date
2005-12-01
Last Update Date
2007-07-08
Business Address
Dr. PRIMITIVO I REYNALDO M.D.
10200 W INNOVATION DR SUITE 700
MILWAUKEE, WI 53226-4825
Phone number: 414-302-9196
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Mailing Address
Dr. PRIMITIVO I REYNALDO M.D.
225 S EXECUTIVE DR
BROOKFIELD, WI 53005-4266
Phone number: 262-787-4026
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