Individual
CLIFFORD ROBERT POPLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 GENEVA STREET, DELAVAN, WI 53115
(262) 728-2651
(262) 728-2728
Mailing address
915 E GENEVA ST, PO BOX 467, DELAVAN, WI 53115-1922
(262) 728-2651
(262) 728-2728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28415
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30856400
—
WI
Enumeration date
10/05/2006
Last updated
11/10/2009
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