Individual
CAROLINE ANNE RUPCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6895
(414) 805-3885
Mailing address
9200 W WISCONSIN AVE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6895
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2799-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710265566
—
WI
Enumeration date
07/27/2011
Last updated
02/27/2023
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