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Individual

DR. THOMAS PAULICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 554-7004
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100046185
WI
Enumeration date
10/30/2012
Last updated
07/16/2024
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