Mariana Lee Montero Jaques, MD

NPI #1003445545 in Madison, Wisconsin

Provider Information

NPI Number: 1003445545
Entity Type: Individual
Name: Mariana Lee Montero Jaques, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 6, 2020
Last Updated: Aug 4, 2023

Practice Location

Address: 2402 WINNEBAGO ST
City: Madison
State: Wisconsin
ZIP Code: 53704-5341
Phone: (608) 242-6855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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