Individual
DR. PAUL ANTHONY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 S UNIVERSITY AVE, STE 350, BEAVER DAM, WI 53916-3053
(920) 887-0379
(920) 887-0382
Mailing address
705 S UNIVERSITY AVE, STE 350, BEAVER DAM, WI 53916-3053
(920) 887-0379
(920) 887-0382
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44261020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34216200
—
WI
Enumeration date
10/11/2005
Last updated
11/16/2022
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