Organization
KEVIN FERREIRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JUAN FERREIRA MD (OWNER)
(715) 451-6065
Entity
Organization
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 423-6060
Mailing address
5030 PRAIRIE VIEW DR, WISCONSIN RAPIDS, WI 54494-2752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49425
WI
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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