Individual
ANDREW C PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 CROOKS AVE, KAUKAUNA, WI 54130-3900
(920) 830-5900
(920) 738-5787
Mailing address
2700 CROOKS AVE, KAUKAUNA, WI 54130-3900
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38085
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3055
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/20/2006
Last updated
11/29/2021
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