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Contact Information

MICHAEL K RAY, PA-C
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI53081
 Phone: 920-457-4461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL K RAY · (Male)

NPI # 1962519207
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/24/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 999-023
  • WI Medicaid 42971100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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