Individual
JOHN HUPP II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2000
Mailing address
2515 WYANDOTTE AVE, CUYAHOGA FALLS, OH 44223-1052
(724) 678-6971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.417765
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
133915
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2020
Last updated
09/21/2020
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