Guillermo Miguel Valenzuela Cortez, MD is a
Internal Medicine physician based in Johnson Creek, Wisconsin. Guillermo Miguel Valenzuela Cortez is licensed to practice in Wisconsin (license number 83885-20) and his current practice location is 400 Doctors Ct, Johnson Creek, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 699-4245.
NPI number for Guillermo Miguel Valenzuela Cortez is 1710597174 and his current mailing address is Po Box 249, Fort Atkinson, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710597174.
Physician's Profile
| Full Name | Guillermo Miguel Valenzuela Cortez |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 400 Doctors Ct, Johnson Creek, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710597174
- Provider Enumeration Date: 07/31/2020
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Guillermo Miguel Valenzuela Cortez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710597174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MT222042 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | MT222042 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 83885-20 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guillermo Miguel Valenzuela Cortez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Guillermo Miguel Valenzuela Cortez, MD
Po Box 249,
Fort Atkinson, WI 53538-0249
Ph: (920) 563-4466 | Guillermo Miguel Valenzuela Cortez, MD
400 Doctors Ct,
Johnson Creek, WI 53038-9567
Ph: (920) 699-4245 |
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