Individual
PAUL L PODRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1279 BUSINESS PARK RD, MINERAL POINT, WI 53565-1210
(608) 987-3662
(608) 987-3859
Mailing address
1279 BUSINESS PARK RD, MINERAL POINT, WI 53565-1210
(608) 987-3662
(608) 987-3859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3109
WI
Other
Enumeration date
11/20/2006
Last updated
09/14/2011
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