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Individual

DR. VYTAS K KERPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5408
(920) 803-2990
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5408
(920) 803-2990

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22423020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30264400
WI
01
355404154005
BLUE CROSS
WI
Enumeration date
03/23/2006
Last updated
07/08/2007
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