Individual
KURT RODNEY WIPPERFURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,C,
Contact information
Practice address
1281 S. BROSIG STREET, SUITE B, GREEN BAY, WI 54311
(920) 965-0441
Mailing address
1281 S. BROSIG STREET, SUITE B, GREEN BAY, WI 54311
(920) 965-0441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3111
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38879100
—
WI
Enumeration date
10/13/2006
Last updated
07/09/2007
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