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Individual

PAULA A BANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
44320-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2558981
IA
05
34233900
WI
01
390821863005
TRICARE-HEALTH NET
01
39082186310
UNITY HEALTH INSURANCE
WI
05
610002300
MN
05
97596
WI
01
HP66977
HEALTHPARTNERS
MN
Enumeration date
11/17/2006
Last updated
03/07/2023
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