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Individual

JOHN W CRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39790
WI
207RP1001X
Pulmonary Disease Physician
Primary
39790
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32439500
WI
Enumeration date
09/23/2006
Last updated
01/05/2011
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