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Individual

KENT E RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
03557
IA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
51744
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0441097
IA
01
20066
WELLMARK BCBS
IA
05
37580300
WI
Enumeration date
10/14/2005
Last updated
11/17/2022
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