Individual
PAUL M SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-1219
(608) 364-1280
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-1219
(608) 364-1280
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036-075374
IL
207N00000X
Dermatology Physician
Primary
25425020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720097165
—
WI
Enumeration date
08/05/2006
Last updated
02/14/2014
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