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Individual

RACHEL LORRAINE FOURNOGERAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
(262) 434-5450
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
(262) 434-5450

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125.061921
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
65877
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275809519
WI
Enumeration date
03/30/2012
Last updated
11/18/2021
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