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Individual

YOLOXOCHITL DIAZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1881 CHICAGO ST, DE PERE, WI 54115-3770
(920) 403-8000
Mailing address
1122 PLEASANT VALLEY DR, ONEIDA, WI 54155-8634
(920) 544-5267

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43555
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34155300
WI
Enumeration date
06/03/2006
Last updated
07/08/2007
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