Individual
JANELLE K HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 CROCKER ST STE 3, MAZOMANIE, WI 53560-9426
(608) 795-4110
Mailing address
506 CROCKER ST STE 3, MAZOMANIE, WI 53560-9426
(608) 795-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34489200
—
WI
01
—
P00119060
RAILROAD MEDICARE
WI
Enumeration date
02/22/2006
Last updated
12/05/2014
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