Individual
PAUL A BOEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31521-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356335269
—
WI
Enumeration date
09/07/2005
Last updated
01/04/2024
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