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Individual

PAUL J WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3120 SOUTH 27TH STREET, MILWAUKEE, WI 53215
(414) 672-8282
(414) 672-8282
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154
(414) 762-2020
(414) 762-2024

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
30363
WI
207RN0300X
Nephrology Physician
30636
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31989700
WI
Enumeration date
08/17/2005
Last updated
01/14/2010
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