Individual
MITCHELL DOBBERPUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 W LOOMIS RD STE 201, GREENFIELD, WI 53220
(414) 281-4466
(414) 281-4564
Mailing address
4600 W LOOMIS RD STE 201, GREENFIELD, WI 53220-4858
(414) 281-4466
(414) 281-4564
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
68898
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078020
—
WI
Enumeration date
04/24/2013
Last updated
12/01/2021
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