Individual
DAVID R WIPPERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 W JEFFERSON ST, STE 102, FRANKLIN, IN 46131-2730
(317) 736-7603
(317) 736-7932
Mailing address
1155 W JEFFERSON ST STE 102, FRANKLIN, IN 46131-2731
(317) 736-7603
(317) 736-7932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01033537
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01033537
STATE LICENSE
IN
05
—
100350210A
—
IN
Enumeration date
09/12/2005
Last updated
05/22/2024
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