Individual
DR. KIP H ZIRKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
781
WI
103TF0200X
Forensic Psychologist
781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13G9521
BCBS-MN
MN
01
—
31097
NAT. REGIS. OF H.C. PROV.
WI
05
—
39018600
—
WI
05
—
852578100
—
MN
01
—
HP69927
HEALTHPARTNERS
—
Enumeration date
01/26/2007
Last updated
07/29/2010
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