Individual
DR. JOHN EDWARD KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4321 N BALLARD RD, APPLETON, WI 54919-0001
(920) 734-5721
Mailing address
4321 N BALLARD RD, APPLETON, WI 54919-0001
(920) 734-5721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27692
WI LICENSE
WI
Enumeration date
03/28/2008
Last updated
03/28/2008
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