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NPI Code Detail

MEDICARE: WILLIAM T KUMPREY MD

MEDICARE: WILLIAM T KUMPREY MD
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
1207P00000XEmergency Medicine Physician43427020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770560278
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM T KUMPREY MD
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-454-8208
Fax Number :
Provider Business Practice Location Address
First Line : 100 COUNTY ROAD B
Second Line :
City : SHAWANO
State : WI
Zip : 54166-7072
Country : US
Telephone Number : 715-526-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 06/24/2021

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Directions to “ WILLIAM T KUMPREY MD” Practice Location

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