Damon Krupela in Green Bay - Physician Assistant
Damon Krupela - NPI 1053508465
Damon Krupela is a Physician Assistant in Green Bay, Wisconsin. Damon Krupela practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Damon Krupela is 1053508465. The last update date is 2009-11-12.
Damon Krupela's current location address is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9202884060 and fax number 9202884067. The mailing address for Damon Krupela is 2845 Greenbrier Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Damon Krupela |
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Address | 2845 Greenbrier Rd, Green Bay, Wisconsin |
Phone Number | 9202884060 |
Fax Number | 9202884067 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1053508465 |
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Provider Enumeration Date | 2007-09-29 |
Last Updated Date | 2009-11-12 |
Provider Mailing Address Detail
Address | 2845 Greenbrier Rd |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543088900 |
Phone Number | 9202884060 |
Fax Number | 9202884067 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 2201 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Damon Krupela by the Centers for Medicare & Medicaid Services?
The Damon Krupela has been issued the NPI (National Provider Identifier) 1053508465, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Damon Krupela's facilities are geographically located?
The facilities of Damon Krupela are physically situated at the following location: 2845 Greenbrier Rd, Green Bay, WI, 543088900.
What is the Damon Krupela's specialty and taxonomy code?
The Damon Krupela's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Damon Krupela receive its 1053508465 assignment?
The Damon Krupela was assigned its 1053508465 on 2007-09-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Damon Krupela most recently updated or revised?
The information pertaining to Damon Krupela, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-12.