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Individual

PAUL AMOS DYRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226
(414) 955-4575
Mailing address
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72469-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100096281
WI
Enumeration date
04/11/2018
Last updated
10/04/2024
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