DR. DEMETRIOS SPYRIDON THEODOROPOULOS


Address: 2727 Midwest Drive, Onalaska, WI 54650
Phone: 6087822027

DR. DEMETRIOS SPYRIDON THEODOROPOULOS (NPI# 1326299488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326299488
Entity Type Individual
Full Name DR. DEMETRIOS SPYRIDON THEODOROPOULOS
Credential M.D.
Practice Address 2727 Midwest Drive
Onalaska
WI 54650
Practice Telephone 6087822027
Practice Fax Number 6087826172
Mailing Telephone 6087822027
Mailing Fax Number 6087826172
Enumeration Date 2008-10-08
Last Update Date 2015-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KI0005X Allergy & Immunology
Specialization: Clinical & Laboratory Immunology
44060-20 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 2727 MIDWEST DRIVE
City ONALASKA
State WI
Zip Code 54650

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Taxonomy Information

Taxonomy Code 207KI0005X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Clinical & Laboratory Immunology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396132619 Michael Anton Kessler Allergy & Immunology 600 Highland Ave, Madison, WI 53792-3721 2015-04-24

Competitor

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City ONALASKA
Zip Code 54650

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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