Individual
DR. JOHN W OREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10509 N MANOR CIR, MEQUON, WI 53092-5172
(574) 850-0826
Mailing address
10509 N MANOR CIR, MEQUON, WI 53092-5172
(574) 850-0826
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01030418A
IN
2086S0129X
Vascular Surgery Physician
Primary
63607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00654399
RR MEDICARE
IN
Enumeration date
12/29/2005
Last updated
04/12/2017
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