Individual
EUGENE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5665 GOLDEN RAIN CT, NEW BERLIN, WI 53151-8733
(509) 823-4283
Mailing address
5665 GOLDEN RAIN CT, NEW BERLIN, WI 53151-8733
(509) 823-4283
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
63615
WI
208M00000X
Hospitalist Physician
MD60270683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045046
—
WI
Enumeration date
07/15/2009
Last updated
05/19/2022
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