Demoya, Marc A

Demoya, Marc A is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Trauma Surgery, Milwaukee WI 53226-3522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Demoya, Marc A can be contacted via phone (414) 805-8623.

Contact Information

Primary practice address
9200 W Wisconsin Avenue Trauma Surgery Milwaukee WI 53226-3522
Phone: (414) 805-8623
Fax: (414) 805-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 223920 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 223920 Massachusetts
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 67333 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 67333 Wisconsin

Profile Details

NPI number 1588655781
LBN Legal business name Demoya, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588655781 NPPES
Wisconsin MEDICAID 1588655781
Wisconsin MEDICAID 2103800
Wisconsin Other 468295
Wisconsin Other J28713

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