Individual
MIGUEL ANGEL REYES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70285-20
WI
207R00000X
Internal Medicine Physician
BP10055737
TX
208M00000X
Hospitalist Physician
Primary
70285-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091295
—
WI
Enumeration date
06/28/2016
Last updated
02/05/2025
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