Individual
PAUL F TREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95350-030
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
587-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43986300
—
WI
Enumeration date
08/24/2005
Last updated
11/15/2012
Update your record
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