Individual
DANA I VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37135
WI
207R00000X
Internal Medicine Physician
Primary
60822
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110143300
RAILROAD MEDICARE
WI
05
—
32339500
—
WI
Enumeration date
11/22/2005
Last updated
01/29/2021
Update your record
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