Individual
DAVID RAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-6583
Mailing address
PO BOX 735044, CHICAOG, IL 60673-5044
(414) 325-5244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7435221
WI
207RC0000X
Cardiovascular Disease Physician
7435221
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135014
—
WI
Enumeration date
04/02/2019
Last updated
05/08/2023
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