Individual
DR. WILLIAM T HUMPHREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
(507) 388-3924
Mailing address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
075631
GA
207Q00000X
Family Medicine Physician
Primary
67918
MN
207Q00000X
Family Medicine Physician
MD-8090
HI
207Q00000X
Family Medicine Physician
MD60974043
WA
Other
Enumeration date
10/21/2005
Last updated
07/23/2020
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