Individual
RAYMOND FRANK GEORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ, SUITE 410, NEENAH, WI 54956-2721
(920) 725-4527
(920) 725-0991
Mailing address
200 THEDA CLARK MEDICAL PLZ, SUITE 410, NEENAH, WI 54956-2721
(920) 725-4527
(920) 725-0991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
309901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31596300
—
WI
Enumeration date
05/12/2006
Last updated
05/08/2008
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