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Individual

JAY R BISHOP

Active
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Individual

JAY R BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
46011
WI
208800000X
Urology Physician
Primary
A-1577-10
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00040021
NM
01
13590
DEAN
WI
01
390807236AE
UNITY
WI
05
43509400
WI
01
46011
TOUCHPOINT
WI
01
NPI & TIN#
BCBS OF NM
NM
01
P00061174
RAILROAD MEDICARE
WI
01
WI01K8
JOHN DEERE
WI
Enumeration date
10/26/2005
Last updated
01/13/2025
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