Individual
PAUL A HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1385 W MAIN AVE, DE PERE, WI 54115-9366
(920) 433-9400
(920) 455-9409
Mailing address
1385 W MAIN AVE, DE PERE, WI 54115-9366
(920) 433-9400
(920) 455-9409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1395
WI
Other
Enumeration date
08/12/2006
Last updated
03/11/2025
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