Individual
BRYAN KENNETH TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55572-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144481656
BCBSWI
WI
05
—
1144481656
—
WI
01
—
TEPPEBRY
MERCYCARE INSURANCE
WI
Enumeration date
06/18/2008
Last updated
01/12/2017
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