Provider Demographics
NPI:1740230887
Name:COMPTON, RALPH T III (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:T
Last Name:COMPTON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 DELAFIELD ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-3417
Mailing Address - Country:US
Mailing Address - Phone:262-547-3352
Mailing Address - Fax:262-547-9142
Practice Address - Street 1:1111 DELAFIELD ST
Practice Address - Street 2:SUITE 312
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3417
Practice Address - Country:US
Practice Address - Phone:262-547-3352
Practice Address - Fax:262-547-9142
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-09-18
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Provider Licenses
StateLicense IDTaxonomies
WI40504-020207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI0800696OtherUHC
WI32511800Medicaid
WI32511800Medicaid