Individual
ARJUN RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8050
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(715) 732-8050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100900-875
WI
207Q00000X
Family Medicine Physician
4351046915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247666
—
WI
Enumeration date
07/02/2020
Last updated
10/26/2023
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