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Individual

DR. KANSAS L DU BRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
S2845 WHITE EAGLE LANE, BARABOO, WI 53913
(608) 355-1240
(608) 356-6347
Mailing address
S2845 WHITE EAGLE LANE, BARABOO, WI 53913
(608) 355-1240
(608) 355-9643

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42772020
WI
208000000X
Pediatrics Physician
Primary
42772020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14466
DEAN HEALTH PLAN
05
34175500
WI
01
P00054953
RAILROAD RETIREMENT
Enumeration date
11/06/2006
Last updated
09/11/2025
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