| Mr Ray Ross Puppe, LPN | |
|
1705 E Marion St, Shorewood, WI 53211-1522 | |
| (414) 687-5500 | |
| Not Available |
| Full Name | Mr Ray Ross Puppe |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1705 E Marion St, Shorewood, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205339447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 314422 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ray Ross Puppe, LPN 1705 E Marion St, Shorewood, WI 53211-1522 Ph: (414) 687-5500 | Mr Ray Ross Puppe, LPN 1705 E Marion St, Shorewood, WI 53211-1522 Ph: (414) 687-5500 |
Mrs. Judith Y Selby, RN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1827 E Olive St, Shorewood, WI 53211 Phone: 414-915-1386 | |
Mr. Ryan Uribe, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4332 N Oakland Ave, Shorewood, WI 53211 Phone: 414-702-0925 |