Individual
PAUL HENRY SUMNICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 W LINCOLN ST, WAUPUN, WI 53963-1949
(920) 324-7259
(920) 324-7254
Mailing address
26 S KELLER PARK DR, APPLETON, WI 54914-8868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25454
WI
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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