Dr Juanilito N Seldera, MD | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-4990 | |
(262) 245-2248 |
Full Name | Dr Juanilito N Seldera |
---|---|
Gender | Male |
Speciality | Surgery |
Location | N2950 State Road 67, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750498945 | NPI | - | NPPES |
30372400 | Medicaid | WI | |
036061793 2 | Medicaid | IL | |
SELDEJUA | Other | WI | MERCYCARE INSURANCE |
1750498945 | Other | WI | BCBSWI |
1750498956 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23586-20 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Juanilito N Seldera, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4990 | Dr Juanilito N Seldera, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4990 |
James J Greenberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Dr. Dmitry K Pasikhov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Square, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 |