Individual
PAUL SHYPOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 325-5422
Mailing address
57375 SEQUOIA DR, GOSHEN, IN 46528-8830
(574) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05006300A
IN
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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