Individual
DR. JOHN W OREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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