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NPI Code Detail

MEDICARE: GERALD L KRUMPOS MD

MEDICARE: GERALD L KRUMPOS MD
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
1207Q00000XFamily Medicine Physician35494-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134187446
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD L KRUMPOS MD
Provider Business Mailing Address
First Line : 2825 HUNTERS TRL
Second Line :
City : PORTAGE
State : WI
Zip : 53901-3429
Country : US
Telephone Number : 608-742-7161
Fax Number : 608-745-3060
Provider Business Practice Location Address
First Line : 2825 HUNTERS TRL
Second Line :
City : PORTAGE
State : WI
Zip : 53901-3429
Country : US
Telephone Number : 608-742-7161
Fax Number : 608-745-3060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 12/04/2020

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Directions to “ GERALD L KRUMPOS MD” Practice Location

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