Individual
PAUL PAMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4654
(262) 634-4646
(262) 634-4694
Mailing address
7739 W ARDMORE AVE, CHICAGO, IL 60631-2261
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002245
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2014
Last updated
06/23/2020
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