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NPI Code Detail

MEDICARE: WILLIAM H E KIEPER DDS

MEDICARE:   WILLIAM H E KIEPER  DDS
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
11223G0001XGeneral Practice Dentistry7652MNMN

General Provider Information

NPI Number : 1609959675
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM H E KIEPER DDS
Provider Business Mailing Address
First Line : PO BOX 26
Second Line :
City : RUSH CITY
State : MN
Zip : 55069
Country : US
Telephone Number : 320-358-3120
Fax Number : 320-358-3288
Provider Business Practice Location Address
First Line : 780 WEST 4TH STREET
Second Line :
City : RUSH CITY
State : MN
Zip : 55069
Country : US
Telephone Number : 320-358-3120
Fax Number : 320-358-3288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM H E KIEPER DDS” Practice Location

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