Patricia R Raftery DO

NPI 1063402568 - Family Medicine - 207Q00000X

NPI Details
NPI 1063402568
Gender Female
Enumeration Date 10/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
310 W MAIN ST
SPARTA WI, 54656-2170, US
Phone (608) 269-1770
Fax (608) 269-1017
Business Location
310 W MAIN ST
SPARTA WI, 54656-2170, US
Phone (608) 269-1770
Fax (608) 269-1017
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 22609
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According to our database, Patricia R Raftery DO NPI is 1063402568, taxonomy code is 207Q00000X and license number is 22609, license state is located at Wisconsin. Patricia R Raftery DO physically located at 310 W Main St, Sparta WI, 54656-2170. NPI Number Patricia R Raftery DO has the Individual type.

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1063402568 NPI number is provided on an as is basis without warranty of any kind. 1063402568 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia R Raftery DO are for informational purposes only.