Organization
DEREK J CRIPPS LLC
Active
Other names
Derek J Cripps MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK JAMES CRIPPS M.D. (EMERITUS PROFESSOR OF MEDICINE)
(608) 244-1712
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 745-5093
Mailing address
727 WILDER DR, MADISON, WI 53704-6011
(608) 244-1712
(608) 244-4338
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
15388
WI
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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