Individual
MR. WILLIAM JEFFREY LIPPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
640 JACKSON ST, GENERAL SURGERY DEPT, SAINT PAUL, MN 55101-2502
(612) 538-6880
Mailing address
8200 XERXES AVE S, BLOOMINGTON, MN 55431-1003
(952) 835-5127
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9890
MN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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