Derek J Cripps LLC

NPI #1659524981 in Portage, Wisconsin

Provider Information

NPI Number
1659524981
Entity Type
Organization
Organization Name
Derek J Cripps LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Oct 30, 2008
Last Updated
Oct 30, 2008

Practice Location

Address
2817 NEW PINERY RD
ZIP Code
53901-9257
Phone
(608) 745-5093

Authorized Official

Name
DR. DEREK JAMES CRIPPS, M.D.
Title
EMERITUS PROFESSOR OF MEDICINE
Phone
(608) 244-1712

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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