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Individual

DR. PAUL S SHOBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
230 N MORRISON ST, APPLETON, WI 54911-5459
(920) 733-4555
(920) 733-6734
Mailing address
8736 PIONEER RD, LARSEN, WI 54947-9705
(920) 733-4555
(920) 733-6734

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3939
WI

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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