Individual
JOHN WILLIAM CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23736
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30588700
—
WI
Enumeration date
04/22/2006
Last updated
11/30/2021
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