Individual
PAUL MIHALAKAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Mailing address
602 WILD OAK DR, MANITOWOC, WI 54220-9050
(920) 652-0654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34085200
—
WI
Enumeration date
09/28/2006
Last updated
11/23/2021
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