Individual
DR. PAUL R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 2ND ST, CHW-FV, NICU, NEENAH, WI 54956-2883
(920) 969-7990
(920) 722-4224
Mailing address
120 2ND ST, CHW-FV, NICU, NEENAH, WI 54956-2883
(920) 969-7990
(920) 722-4224
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
30855
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31545700
—
WI
Enumeration date
03/14/2007
Last updated
07/08/2007
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