Organization
RAYMOND W. MOY MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MOKELKE (BILLING)
(414) 545-7245
Entity
Organization
Contact information
Practice address
6917 W OKLAHOMA AVE, MILWAUKEE, WI 53219-2973
(414) 545-7245
(414) 545-3373
Mailing address
6917 W OKLAHOMA AVE, MILWAUKEE, WI 53219-2973
(414) 545-7245
(414) 545-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21142
WI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
21142
WI
2084P0800X
Psychiatry Physician
21142
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30254700
—
WI
Enumeration date
10/25/2007
Last updated
11/06/2012
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