Individual
DR. MARY NELL KIRSCH RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 327-7250
(920) 327-7249
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2007010575
MO
207P00000X
Emergency Medicine Physician
200800576
MO
207P00000X
Emergency Medicine Physician
Primary
57547
WI
Other
Enumeration date
05/01/2007
Last updated
04/11/2024
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