Individual
DR. PAULA HARDGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3676
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64287 - 20
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
64287-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245592088
—
WI
Enumeration date
06/07/2012
Last updated
12/03/2020
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