Individual
OR RAIZMAN VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
6001 RESEARCH PARK BLVD, MADISON, WI 53719-1176
(608) 232-3171
Mailing address
6001 RESEARCH PARK BLVD, MADISON, WI 53719-1176
(608) 232-3171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
82137-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2021
Last updated
07/12/2023
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