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Individual

DR. MARY L ZUPANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
155 E WILSON ST APT 404, MADISON, WI 53703-3487
(414) 403-6174
Mailing address
155 E WILSON ST APT 404, MADISON, WI 53703-3487
(414) 403-6174

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25058
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25058-20
WI

Other

Enumeration date
05/16/2006
Last updated
04/09/2026
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