Individual
PAUL N GREENLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N 3RD AVE, STURGEON BAY, WI 54235-2401
(920) 743-0255
(920) 743-6680
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49635-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34898500
—
WI
Enumeration date
08/20/2006
Last updated
04/21/2020
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