Individual
EMILY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3595
(414) 825-7111
Mailing address
9034 W LISBON AVE UNIT 8, MILWAUKEE, WI 53222-2734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010-39
WI
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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