Individual
DR. JEANETTE A KALUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150-2613
(414) 422-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2355033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41182000
—
WI
01
—
P00314275
MEDICARE RAILROAD
WI
Enumeration date
04/21/2006
Last updated
12/02/2024
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