Edward S Kapustka, MD | |
426 Mcmillen St, Fort Atkinson, WI 53538-1996 | |
(920) 563-7744 | |
(920) 563-7741 |
Full Name | Edward S Kapustka |
---|---|
Gender | Male |
Speciality | Urology |
Location | 426 Mcmillen St, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447271572 | NPI | - | NPPES |
31010400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 18609-020 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Edward S Kapustka, MD 426 Mcmillen St, Fort Atkinson, WI 53538-1996 Ph: (920) 563-7744 | Edward S Kapustka, MD 426 Mcmillen St, Fort Atkinson, WI 53538-1996 Ph: (920) 563-7744 |
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