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RAMON RAY GREGORIO RAYEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2845 GREENBRIER RD STE 310, GREEN BAY, WI 54311-6519
(920) 288-8300
(920) 288-8305
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39472-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0220121
BCBS OF MI
MI
01
1042616
PREFERRED ONE
01
110B210270
BCBS
MI
05
32560500
WI
05
4657176
MI
05
5206090
MI
01
P00188872
RAILROAD MEDICARE
MI
Enumeration date
02/02/2006
Last updated
04/28/2016
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