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Individual

PAUL BURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500
Mailing address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
612
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41922600
WI
Enumeration date
03/25/2006
Last updated
09/17/2010
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