Individual
DR. PAUL VERNON TUTTLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2223 LIME KILN RD, STE 1, GREEN BAY, WI 54311-6213
(920) 430-8120
(920) 430-8122
Mailing address
2223 LIME KILN RD, STE 1, GREEN BAY, WI 54311-6213
(920) 430-8120
(920) 430-8122
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
64162-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2009
Last updated
04/22/2025
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