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Individual
DESIREE MARIE KEMPCKE
Active
Individual
DESIREE MARIE KEMPCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550S9KE
BLUE CROSS BLUE SHIELD
—
01
—
82507000
WISC MEDICAID
—
01
—
907605
MEDICA
—
01
—
969991000270
PREFERREDONE
—
01
—
HP13577
HEALTHPARTNERS
—
Enumeration date
08/29/2006
Last updated
07/10/2007
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