Individual
JOHN M VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301077234
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301077234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602900651
BCBS OF MI
MI
05
—
4897207
—
MI
Enumeration date
08/18/2006
Last updated
01/13/2017
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