Individual
DR. KENNETH C GRAUPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FRONT STREET, STE 3D, BEAVER DAM, WI 53916-1667
(920) 885-2780
(920) 885-2788
Mailing address
200 FRONT STREET, STE 3D, BEAVER DAM, WI 53916-1667
(920) 885-2780
(920) 885-2788
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17095020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31056900
—
WI
Enumeration date
07/24/2006
Last updated
07/08/2007
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