Individual
PAUL WILLIAM SLETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3062
(715) 256-3079
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27731
STATE MEDICAL LICENSE
MN
01
—
29125
STATE MEDICAL LICENSE
WI
05
—
31562600
—
WI
01
—
690100064
MEDICARE PTAN
WI
Enumeration date
07/03/2006
Last updated
03/15/2017
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