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Organization
PAUL B DOENIER MD, SC
Active
Organization
PAUL B DOENIER MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL B DOENIER M.D. (PRESIDENT)
(262) 446-0955
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST STE 300, WAUKESHA, WI 53188-3407
(262) 446-0955
(262) 446-0055
Mailing address
1111 DELAFIELD ST STE 300, WAUKESHA, WI 53188-3407
(262) 446-0955
(262) 446-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49232
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K100354297
GROUP PTAN
WI
01
—
K400354306
INDIVIDUAL PTAN
WI
Enumeration date
11/22/2016
Last updated
03/24/2023
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