Individual
DR. PAUL STEPHEN PIENKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 329-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45931-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
45931-20
WI
Other
Enumeration date
02/03/2007
Last updated
12/01/2021
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