Provider Demographics
NPI:1174575856
Name:PASQUINI, MARCELO C (MD)
Entity type:Individual
Prefix:DR
First Name:MARCELO
Middle Name:C
Last Name:PASQUINI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:FROEDTERT & MED COLLEGE CLIN - EAST
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-0505
Mailing Address - Fax:414-955-0231
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:FROEDTERT & MED COLLEGE CLIN - EAST
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-4100
Practice Address - Fax:414-955-0231
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-10-11
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Provider Licenses
StateLicense IDTaxonomies
WI47202207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34630800Medicaid
I42559Medicare UPIN