Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 58792 | MN |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | 58792 | MN |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 73345 | WI |
NPI | 1447575469 |
---|---|
Provider Name | Dr. John Paul Kampa |
First Address | Saint Croix Falls, WI 54024-4117 |
Second Address | Saint Croix Falls, WI 54024-4117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 28/12/2020 |