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Individual

THOMAS E VRAVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
(262) 376-6032
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28724
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30817000
WI
01
P01035282
RR MEDICARE
WI
Enumeration date
08/08/2006
Last updated
07/12/2024
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