Individual
GREGORY WIPPERFURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 RIVER PL, SUITE 220, MONONA, WI 53716-4041
(608) 222-3231
Mailing address
100 RIVER PL, SUITE 220, MONONA, WI 53716-4041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002129
WI
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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