Individual
PAUL G. DIDOMIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6943
(414) 266-2926
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6943
(414) 266-2926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326579491
—
WI
Enumeration date
03/21/2017
Last updated
08/30/2021
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