Individual
RICHARD A PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-0943
(608) 263-9103
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717
(608) 829-5201
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
20338
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30187300
—
WI
Enumeration date
03/30/2006
Last updated
01/08/2008
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