Matthew Klumpp, MD | |
700 West Ave South, Lacrosse, WI 54601-8806 | |
(608) 785-0940 | |
Not Available |
Full Name | Matthew Klumpp |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 700 West Ave South, Lacrosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790217305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 22980 (Wisconsin) | Primary |
Entity Name | University Radiology Associates, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215978184 PECOS PAC ID: 4981686110 Enrollment ID: O20040602001011 |
Mailing Address | Practice Location Address |
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Matthew Klumpp, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Matthew Klumpp, MD 700 West Ave South, Lacrosse, WI 54601-8806 Ph: (608) 785-0940 |
Lawrence D Furlong, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, Attn: Physician Services, Lacrosse, WI 54601 Phone: 608-782-9760 | |
Joseph R Hooyman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 West Avenue South, Attn Physician Services, Lacrosse, WI 54601 Phone: 608-782-9760 | |
Dr. David M Kushner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 700 West Ave South, Lacrosse, WI 54601 Phone: 608-785-0940 |