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Individual
VINCENT A ABEJUELA
Active
Individual
VINCENT A ABEJUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81540-21
WI
208M00000X
Hospitalist Physician
Primary
81540-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287408
—
WI
Enumeration date
03/25/2021
Last updated
11/06/2024
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