Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL B PICONE JR., M.D.

Active

DR. SAMUEL B PICONE JR., M.D. is a General Surgery healthcare provider located in SUMMIT LAKE, Wisconsin. NPI 1942233630 is currently active in the NPPES registry. Verify at CMS.

General Surgery · SUMMIT LAKE, WI

Registration Details

NPI Number: 1942233630
Provider Type: Individual
Gender: Male
NPI Issued: Jul 8, 2006 (20.095173299508 yrs)
Last Updated: Jan 6, 2014
Licenses: 33904 (WI)

G037968 (CA)

MD072888L (PA)

Practice Information

Address: N9781 W DUCK LAKE RD # KTC130

SUMMIT LAKE, WI, 544859629
Browse WI providers · Browse ZIP 54485
Phone: 7154434329
Fax: 8153663349
Primary Specialty: General Surgery
208600000X
Additional Specialty: General Surgery
Additional Specialty: General Surgery

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.