Individual
PAUL N BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8350
(920) 288-8355
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
30352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104386046
—
MI
05
—
104445138
—
MI
05
—
104584893
—
MI
05
—
104807433
—
MI
01
—
140005936
RAILROAD
WI
01
—
1402100761
BCBS
MI
05
—
32381600
—
WI
01
—
P00032933
RAILROAD
MI
Enumeration date
06/18/2006
Last updated
04/21/2026
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