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Individual

PAUL DOUGLAS HULSEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, PHD

Contact information

Practice address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
Mailing address
514 DUNNING ST, MADISON, WI 53704-5633

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4646-23
WI

Other

Enumeration date
02/28/2018
Last updated
06/01/2020
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