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Individual

PAUL GINKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46353
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32832400
GROUP MEDICAID
WI
05
34462800
WI
01
K400127107
MEDICARE GROUP PIN/PTAN
WI
Enumeration date
02/17/2006
Last updated
03/24/2020
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