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Individual
DR. ROBERT M. WIPRUD
Active
Individual
DR. ROBERT M. WIPRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H5096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080162723
RR/MEDICARE
TX
05
—
1282162-02
—
TX
01
—
84E425
BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
03/10/2020
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