Individual
DR. PAUL M. CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
960 SOUTH SAINT AUGUSTINE ST., PULASKI, WI 54162
(920) 822-8111
(920) 822-2198
Mailing address
PO BOX 739, 960 SOUTH SAINT AUGUSTINE ST., PULASKI, WI 54162
(920) 822-8111
(920) 822-2198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2317
WI
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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