Raul Mendoza-Ayala, MD
Internal Medicine, Pulmonary Disease in Green Bay, WI. Individual provider (NPI-1).
NPI number1619903218
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1619903218
- Entity type
- Individual (NPI-1)
- Name
- Raul Mendoza-Ayala
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2006
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 42580 | WI | Yes |
Other names
- Raul Mendoza (Professional Name)
Practice location
2845 Greenbrier RdGreen Bay, WI 54311-6519
Phone 920-288-8000
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 920-288-8000
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