Individual
RADU E PIRVANESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8420
(920) 926-8913
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45595
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00941497
RR MEDICARE
WI
Enumeration date
08/29/2006
Last updated
10/27/2020
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