Individual
RICHARD A SANTA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 731-8900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
49078
WI
207RI0011X
Interventional Cardiology Physician
49078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34870900
—
WI
01
—
P3166
MEDICARE PIN
FL
Enumeration date
07/06/2006
Last updated
12/18/2024
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