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Individual

MICHAEL E RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
900 E GRANT, APPLETON, WI 54911-3487
(920) 738-6340
(920) 738-6435
Mailing address
2500 E ENTERPRISE, UNIT C, APPLETON, WI 54913
(920) 739-5642
(920) 968-0259

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301073755
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4537599
MI
Enumeration date
09/30/2006
Last updated
05/01/2008
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