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Individual

CHERYL A PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
950 WOODLAKE RD, KOHLER, WI 53044
(920) 496-4700
Mailing address
950 WOODLAKE RD, KOHLER, WI 53044-1348
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1150-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41980000
WI
Enumeration date
04/25/2006
Last updated
11/27/2019
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