Provider Demographics
NPI:1619324985
Name:DUPREY, CORY J (MD)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:J
Last Name:DUPREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:6155 S MAIN ST STE E-104
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5363
Practice Address - Country:US
Practice Address - Phone:720-457-2615
Practice Address - Fax:720-577-6079
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCDR.0002871207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology