Healthcare Provider Details

I. General information

NPI: 1891720264
Provider Name (Legal Business Name): ARTHUR DUDLEY RAPKIN O.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 ELM GROVE RD
ELM GROVE WI
53122-2528
US

IV. Provider business mailing address

PO BOX 1127
SHEBOYGAN WI
53082-1127
US

V. Phone/Fax

Practice location:
  • Phone: 262-827-4000
  • Fax: 262-827-1503
Mailing address:
  • Phone: 920-457-6750
  • Fax: 920-457-8350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7-0555
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: