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GUILLERMO MIGUEL VALENZUELA CORTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 DOCTORS CT, JOHNSON CREEK, WI 53038-9567
(920) 699-4245
(920) 699-4748
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
(920) 568-4004

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83885-20
WI
207R00000X
Internal Medicine Physician
MT222042
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT222042
PA

Other

Enumeration date
07/31/2020
Last updated
09/23/2024
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