Individual
DR. GERARD L. KUPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
888 THACKERAY TRL, OCONOMOWOC, WI 53066-4342
(262) 567-7639
(262) 567-7476
Mailing address
1078 TIMBERLINE CT E, OCONOMOWOC, WI 53066-4007
(262) 567-1727
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41102700
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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