Healthcare Provider Details

I. General information

NPI: 1235115791
Provider Name (Legal Business Name): JOHN THOMAS MURPHY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 HILLCREST DR STE 303
HUDSON WI
54016-1789
US

IV. Provider business mailing address

2651 HILLCREST DR STE 303
HUDSON WI
54016-1789
US

V. Phone/Fax

Practice location:
  • Phone: 715-531-6818
  • Fax: 715-531-6993
Mailing address:
  • Phone: 715-531-6818
  • Fax: 715-531-6993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40080
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42002
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: