Individual
MR. PAUL EVERETT MITTELSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE STE 2100, MILWAUKEE, WI 53202-4809
(414) 290-6700
Mailing address
PO BOX 28247, TEMPE, AZ 85285-8247
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25846
WI
207P00000X
Emergency Medicine Physician
89106
CA
Other
Enumeration date
10/27/2005
Last updated
03/17/2018
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