Individual
JOHN R RAYMOND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 WATERTOWN PLANK ROAD, OFFICE OF THE PRESIDENT, MILWAUKEE, WI 53226-0509
(414) 955-8225
(414) 955-6560
Mailing address
8701 WATERTOWN PLANK ROAD, OFFICE OF THE PRESIDENT, MILWAUKEE, WI 53226-0509
(414) 955-8225
(414) 955-6560
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
18867
SC
207RN0300X
Nephrology Physician
Primary
61052
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043328099
—
WI
05
—
188674
—
SC
Enumeration date
08/29/2006
Last updated
11/15/2019
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