Georgen, Raymond Frank

Georgen, Raymond Frank is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Suite 410, Neenah WI 54956-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Georgen, Raymond Frank can be contacted via phone (920) 725-4527.

Contact Information

Primary practice address
200 Theda Clark Medical Plz Suite 410 Neenah WI 54956-2721
Fax: (920) 725-0991
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 309901 Wisconsin

Profile Details

NPI number 1912957457
LBN Legal business name Georgen, Raymond Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912957457 NPPES
Wisconsin MEDICAID 31596300

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