Individual
KEVIN WIPPERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-4039
(920) 887-5970
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-4039
(920) 887-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12534-24
WI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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