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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK J CRIPPS LLC

Active Organization

Medical Specialty Clinic · PORTAGE, WI

Registration Details

NPI Number
1659524981
Provider Type
Organization
NPI Issued
Oct 30, 2008 (17.474917967492 yrs)
Last Updated
Oct 30, 2008
License
15388 (WI)

Practice Information

Address
2817 NEW PINERY RD
PORTAGE, WI, 539019257
Browse WI providers · Browse ZIP 53901
Phone
6087455093
Primary Specialty
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.