Individual
MR. MICHAEL LEE RAYMOND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3121 SPRING VALLEY RD, OSHKOSH, WI 54904-8809
(920) 420-8377
Mailing address
3121 SPRING VALLEY RD, OSHKOSH, WI 54904-8809
(920) 420-8377
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
WI
163WP0200X
Pediatric Registered Nurse
—
WI
163WS0200X
School Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38335100
—
WI
Enumeration date
03/30/2006
Last updated
09/11/2025
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