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Individual

DR. RAVINDER VIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 AIRPORT DR, ONEIDA, WI 54155
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36807
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32140400
MANAGED HEALTH
WI
05
32140400
WI
01
P00264423
RAILROAD MEDICARE
WI
Enumeration date
05/09/2006
Last updated
06/01/2012
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