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Individual
PAUL WILLIAM SLETTEN
Active
Individual
PAUL WILLIAM SLETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27731
STATE MEDICAL LICENSE
MN
01
—
29125
STATE MEDICAL LICENSE
WI
05
—
31562600
—
WI
01
—
690100064
MEDICARE PTAN
WI
Enumeration date
07/03/2006
Last updated
03/15/2017
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