MEDICARE: DR. WILLIAM FRANCIS POMPUTIUS III 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
1	2080P0208X	Pediatric Infectious Diseases Physician	36678	MN

General Provider Information

NPI Number	:	1083611511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FRANCIS POMPUTIUS III M.D.

Provider Business Mailing Address
First Line	:	2525 CHICAGO AVE
Second Line	:	MAILSTOP 17-318
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4518
Country	:	US
Telephone Number	:	612-813-6105
Fax Number	:	612-813-5820

Provider Business Practice Location Address
First Line	:	2525 CHICAGO AVE
Second Line	:	MAILSTOP 17-318
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4518
Country	:	US
Telephone Number	:	612-813-6105
Fax Number	:	612-813-5820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/07/2012

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