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Individual
PAUL E NIEMUTH
Active
Individual
PAUL E NIEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DSC,OCS,SCS,ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1739
MN
225100000X
Physical Therapist
Primary
1811-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083681407
—
WI
01
—
11363195
CAQH
WI
Enumeration date
03/03/2006
Last updated
08/01/2017
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