Individual
FERNANDO VELAZQUEZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 288-8100
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
67001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067368
—
WI
Enumeration date
08/04/2014
Last updated
01/13/2025
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