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Individual

JOSEPH JAY VERROYA BARON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
477823
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265084636
WI
Enumeration date
07/15/2019
Last updated
03/15/2023
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