Individual
DR. PAUL B YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3990
Mailing address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27882-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477548949
—
WI
Enumeration date
09/12/2005
Last updated
01/07/2021
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