Individual
DR. MARK GUSTAV WIPFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 HINMAN LN W, SOUTHBURY, CT 06488-3828
(203) 262-4443
(203) 262-4423
Mailing address
43 HINMAN LN W, SOUTHBURY, CT 06488-3828
(203) 262-4443
(203) 262-4423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
031943
CT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
031943
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930032965
RAILROAD MEDICARE
—
Enumeration date
12/11/2006
Last updated
03/07/2014
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