Search › Wisconsin › 207R00000X

Derek Hupp

NPI 1033606215 · on the registry since 2018

Practice

Address
1836 South Ave
La Crosse, WI 54601
Phone
(608) 782-7300
Organisation at this address
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Lutheran Admin Svcs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,548

Additional practice sites

  • 200 Hawkins Dr, Iowa City, IA
  • 601 Highway 6 W, Iowa City, IA

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
208M00000X
390200000X
Licence states on file
IA, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin