Individual
JEAN DEMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6939
Mailing address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6939
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23947-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30581500
—
WI
01
—
733
DEAN HEALTH INSURANCE
WI
Enumeration date
05/28/2006
Last updated
05/07/2008
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