Individual
RAPHAEL TADEU DO VALE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101838851
WI
Other
Enumeration date
04/18/2025
Last updated
08/05/2025
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