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NPI Code Detail

MEDICARE: JEAN A HOOPFER M.D.

MEDICARE: JEAN A HOOPFER M.D.
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
1208000000XPediatrics Physician41552WI

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 : 1548255706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN A HOOPFER M.D.
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE # MS 958
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 3365 S 103RD ST STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-4162
Country : US
Telephone Number : 414-321-3951
Fax Number : 414-321-8307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 02/04/2020

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Directions to “ JEAN A HOOPFER M.D.” Practice Location

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