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General NPI Number Information
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NPI Number | 1518993369
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Entity Type | Individual
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Provider Name | WESLEY ALLAN PAPENFUSS MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 2801 W KINNICKINNIC RIVER PKWY SUITE 540
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City | MILWAUKEE
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State | WI
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Zip | 53215-3669
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Country | US
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Telephone | 414-649-3240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735044
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City | CHICAGO
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State | IL
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Zip | 60673-5044
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Country | US
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Telephone | 800-326-2250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 264261
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 50701
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R-6997
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 64159
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License Number State | WI
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