Individual
DAVID A KUPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1268
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41925200
—
WI
Enumeration date
02/22/2007
Last updated
03/30/2021
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