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:PO BOX 735044
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-5044
Mailing Address - Country:US
Mailing Address - Phone:800-326-2250
Mailing Address - Fax:
Practice Address - Street 1:2621 S GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-4948
Practice Address - Country:US
Practice Address - Phone:262-504-6150
Practice Address - Fax:262-504-6105
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2025-08-26
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
WI83565OtherDEAN S.E. MEDICAID
WI83565OtherCHILDRENS COM. HEALTH
WI2124998001OtherDIAMOND PROVIDER ID
WI30052500Medicaid
WIP00332347OtherRAILROAD MEDICARE
WIP00332347OtherRAILROAD MEDICARE
E96363Medicare UPIN
WIP00332347OtherRAILROAD MEDICARE