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Individual

DR. CARLOS RODOLFO ALFARAZ

Active
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Individual

DR. CARLOS RODOLFO ALFARAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301060737
MI
207Q00000X
Family Medicine Physician
Primary
56134
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016791
—
WI
01
—
2058269
PHYSICIAN'S PLUS
WI
01
—
61204
DEAN HEALTH INSURANCE
WI
01
—
P01038284
RAILROAD MEDICARE
WI
Enumeration date
11/28/2006
Last updated
08/27/2012
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