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Individual

DANIEL FERNANDO MONROY CHAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055678
IL
207R00000X
Internal Medicine Physician
35.098843
OH
207RP1001X
Pulmonary Disease Physician
Primary
63005
WI

Other

Enumeration date
07/20/2009
Last updated
07/08/2015
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