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Individual

ROBERT THOMAS TRUPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
W177N5423 LEGEND CT, MENOMONEE FALLS, WI 53051-7858
(414) 531-5673

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4526-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
917471355
UNITED HEALTHCARE
WI
Enumeration date
09/28/2018
Last updated
09/28/2018
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