Individual
DR. PAUL B HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF RHEUMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6655
(414) 805-6676
Mailing address
9200 W WISCONSIN AVE, DIVISION OF RHEUMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6655
(414) 805-6676
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
18941
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000119K
HUMANA
—
05
—
1114978962
—
WI
Enumeration date
05/15/2006
Last updated
01/24/2013
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