MEDICARE: RENEE MURPHY 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
1	207Q00000X	Family Medicine Physician	32349-020	WI
2	208600000X	Surgery Physician	32349-020	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1770575243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MURPHY MD

Provider Business Mailing Address
First Line	:	225 MEMORIAL DR
Second Line	:
City	:	BERLIN
State	:	WI
Zip	:	54923-1243
Country	:	US
Telephone Number	:	920-361-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	N2934 HWY 22 NORTH
Second Line	:
City	:	WAUTOMA
State	:	WI
Zip	:	54982
Country	:	US
Telephone Number	:	920-787-4613
Fax Number	:	920-787-5433

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/11/2025

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