Individual
DR. ALFREDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241
(920) 793-2281
(920) 794-7553
Mailing address
2219 GARFIELD ST, TWO RIVERS, WI 54241-2416
(920) 793-2281
(920) 794-7553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3310
NE
207R00000X
Internal Medicine Physician
Primary
39841
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32468200
—
WI
Enumeration date
08/20/2006
Last updated
12/01/2021
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