Individual
RAPHAEL AGBAVITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(815) 971-3314
Mailing address
2927 MARCONI AVE APT 42, SACRAMENTO, CA 95821-5049
(815) 971-3314
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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