Individual
DR. JUAN B LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MCDILL AVE, STEVENS POINT, WI 54481-6212
(715) 344-2004
(715) 344-2013
Mailing address
106 MCDILL AVE, STEVENS POINT, WI 54481-6212
(715) 344-2004
(715) 344-2013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23466-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347600
—
WI
Enumeration date
01/25/2006
Last updated
07/08/2007
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