Provider Demographics
NPI:1427098722
Name:GARRETTO, GIUSEPPE (DO)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:
Last Name:GARRETTO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 35TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-1902
Mailing Address - Country:US
Mailing Address - Phone:262-652-3500
Mailing Address - Fax:262-997-0113
Practice Address - Street 1:1020 35TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-1902
Practice Address - Country:US
Practice Address - Phone:262-652-3500
Practice Address - Fax:262-997-0113
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32448-021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2124998001OtherDIAMOND PROVIDER ID
WIP00332347OtherRAILROAD MEDICARE
WI30052500Medicaid
WI83565OtherDEAN S.E. MEDICAID
WI83565OtherCHILDRENS COM. HEALTH
WIP00332347OtherRAILROAD MEDICARE
E96363Medicare UPIN
WIP00332347OtherRAILROAD MEDICARE