Provider Demographics
NPI:1649294752
Name:TRAMPE, WARREN RALPH (DPM)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:RALPH
Last Name:TRAMPE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2917 HIGHWAY K
Mailing Address - Street 2:SUITE G
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7979
Mailing Address - Country:US
Mailing Address - Phone:636-240-1127
Mailing Address - Fax:636-240-0041
Practice Address - Street 1:2917 HIGHWAY K
Practice Address - Street 2:SUITE G
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7979
Practice Address - Country:US
Practice Address - Phone:636-240-1127
Practice Address - Fax:636-240-0041
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO000794213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO305807901Medicaid
480034531OtherPALMETTO GBA/RAILROAD MEDICARE
MO305807901Medicaid
MOU83845Medicare UPIN