Individual
PAUL R GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67993-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
67993-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144731498
—
WI
Enumeration date
10/13/2017
Last updated
11/07/2022
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