Individual
MIGUEL ANGEL BARRAZA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 256-3000
(715) 256-3028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
751223
WI
Other
Enumeration date
07/07/2022
Last updated
01/05/2026
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