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Individual

NATHAN A VALENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6574
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54344
WI
2084P0800X
Psychiatry Physician
MD19176
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100047801
WI
Enumeration date
04/11/2008
Last updated
11/26/2025
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