Individual
DR. GERALD R VERSTOPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30550700
—
WI
Enumeration date
10/07/2005
Last updated
06/07/2012
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