Individual
JAVIER A RINCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6600
(414) 773-6656
Mailing address
PO BOX 1440, ATTN: CLINIC CREDENTIALING, WAUTOMA, WI 54982-1440
(920) 787-5514
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29828
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31471200
—
WI
Enumeration date
03/23/2006
Last updated
09/28/2016
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