Basic Information
| Provider Information | |||||||||
| NPI: | 1265665491 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNPHY | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | MD, FACP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 19070 | ||||||||
| Address2: | |||||||||
| City: | GREEN BAY | ||||||||
| State: | WI | ||||||||
| PostalCode: | 543079070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204964700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 958 FOOTE ST | ||||||||
| Address2: | |||||||||
| City: | SEYMOUR | ||||||||
| State: | WI | ||||||||
| PostalCode: | 541651044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204964700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2009 | ||||||||
| LastUpdateDate: | 09/04/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 53502-020 | WI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.