Individual
MR. ISAIAS R CUPINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ROSERA ST, LENA, WI 54139-9169
(920) 829-6400
(920) 829-6403
Mailing address
200 S ROSERA ST, LENA, WI 54139-9169
(920) 829-6400
(920) 829-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37208020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326349135
CMH SB NPI
WI
01
—
1346371358
LENA CLINIC NPI
WI
01
—
1851477913
CMH NPI
WI
Enumeration date
10/20/2005
Last updated
09/02/2014
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