Individual
PAUL M ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
403 BURKARTH ROAD, WARRENSBURG, MO 64093
(660) 747-2500
(660) 747-8455
Mailing address
1745 DOUSMAN ST, SUITE 101, GREEN BAY, WI 54303-3245
(920) 494-9661
(920) 491-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34369
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34198300
—
WI
Enumeration date
04/03/2006
Last updated
06/20/2008
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