Individual
REY ANTHONY G GARIBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301100623
MI
Other
Enumeration date
06/29/2012
Last updated
09/03/2015
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