Individual
GENE A TIPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7734
Mailing address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24051
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30540300
—
WI
Enumeration date
09/06/2005
Last updated
06/17/2008
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