DEREK J CRIPPS LLC NPI 1659524981

NPI Information

DEREK J CRIPPS LLC is a medical specialty clinic center in Portage, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DEREK J CRIPPS LLC NPI is 1659524981. The provider is registered as an organization entity type.
The provider Other Name Is Derek J Cripps Md Llc.

The provider's business location address is:

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901-257
Phone: (608) 745-5093

The provider's authorized official is Derek James Cripps .
The authorized official title is Emeritus Professor Of Medicine and has the following contact phone number (608) 244-1712.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 10/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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