MEDICARE: JOHN DOUGLAS IPSEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	37146	MN
2	207Q00000X	Family Medicine Physician	32307-20	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080005095	OTHER	MN	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073564126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DOUGLAS IPSEN

Provider Business Mailing Address
First Line	:	53585 NOKOMIS RD
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-4272
Country	:	US
Telephone Number	:	715-682-7133
Fax Number	:	715-685-7857

Provider Business Practice Location Address
First Line	:	53585 NOKOMIS RD
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-4272
Country	:	US
Telephone Number	:	715-682-7133
Fax Number	:	715-685-7857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	07/14/2017

Similar Medicare Providers

1235084526 — COURTNEY HOLLOWAY
Practice Location Address:

53585 NOKOMIS RD
ASHLAND, WI
54806-4272

Practice Phone: 715-682-7133
Practice Fax:

1841290616 — SHARON HANDY M.D.
Practice Location Address:

53585 NOKOMIS RD , ATTN: SHARON HANDY MD
ASHLAND, WI
54806-4272

Practice Phone: 715-682-7133
Practice Fax: 715-685-7844

1861451627 — PAMELA M HAYWARD NP
Practice Location Address:

53585 NOKOMIS RD
ASHLAND, WI
54806-4272

Practice Phone: 715-682-7133
Practice Fax:

1699701375 — BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS
Practice Location Address:

53585 NOKOMIS ROAD
ASHLAND, WI
54806-4272

Practice Phone: 715-682-7133
Practice Fax: 715-685-7857

1417097411 — DR. KIMBERLY KAY STURM DDS
Practice Location Address:

53585 NOKOMIS RD
ASHLAND, WI
54806-4272

Practice Phone: 715-685-7887
Practice Fax: 715-685-7886

1780702829 — BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS.
Practice Location Address:

53585 NOKOMIS ROAD
ASHLAND, WI
54806-4272

Practice Phone: 715-682-7133
Practice Fax: 715-685-8810

Directions to “ JOHN DOUGLAS IPSEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.