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Bart Mengo
NPI 1659863389 · on the registry since 2018
Practice
- Address
- 1715 60th Street
Kenosha, WI 53140 - Phone
- (262) 496-1333
- Fax
- (262) 657-0244
Additional practice sites
- 1715 60th Street, Kenosha, WI
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin