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Individual

DR. FERNANDO ALFREDO VAZQUEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036162352
IL
207L00000X
Anesthesiology Physician
Primary
86320
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
86320-20
WI

Other

Enumeration date
03/30/2019
Last updated
11/18/2025
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