Individual
GARY L TUPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 258-6975
(608) 258-5222
Mailing address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 258-6975
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3973
DEAN HEALTH INSURANCE
WI
05
—
43337800
—
WI
Enumeration date
04/19/2006
Last updated
05/12/2008
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