Provider Demographics
NPI:1982494258
Name:ESPINOSA, ANGEL VICENTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:VICENTE
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9200 W. WISCONSIN AVE.
Mailing Address - Street 2:MEDICAL COLLEGE OF WISCONSIN FROEDTERT HOSPITAL
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-805-8700
Mailing Address - Fax:414-259-1522
Practice Address - Street 1:9200 W. WISCONSIN AVE.
Practice Address - Street 2:MEDICAL COLLEGE OF WISCONSIN FROEDTERT HOSPITAL
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-805-8700
Practice Address - Fax:414-259-1522
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI85350-875207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1982494258Medicaid