Individual
DR. RAYMUNDO MUNOZ VERZOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 HAMILTON ST, PORTAGE, WI 53901-1200
(847) 650-9274
Mailing address
2315 HAMILTON ST, PORTAGE, WI 53901-1200
(847) 650-9274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25754020
WI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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