Individual
PAUL NATHANAEL BOECHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
(414) 771-7900
(414) 607-6336
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5109-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100896
—
WI
Enumeration date
02/12/2020
Last updated
07/01/2026
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