Individual
DR. PATRICIA MORALES VALDES BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-8700
(920) 456-5590
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53283
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013437000
—
FL
05
—
100009161
—
WI
01
—
12749616
CAQH
FL
Enumeration date
05/03/2007
Last updated
05/07/2024
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