Individual
PAUL A KORNAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
(608) 339-8323
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
(608) 339-8323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23990020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30480300
—
WI
Enumeration date
11/22/2005
Last updated
04/30/2014
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