Individual
DR. REYNALDO V PALINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36090245
IL
207R00000X
Internal Medicine Physician
43030
WI
207RR0500X
Rheumatology Physician
43030
WI
208M00000X
Hospitalist Physician
Primary
43030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34065300
—
WI
01
—
P00932315
MEDICARE RAILROAD
WI
Enumeration date
08/23/2006
Last updated
08/30/2024
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