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Individual

PAUL B MCAVOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
411 LINCOLN ST, NEENAH, WI 54956-2753
(920) 727-4220
Mailing address
411 LINCOLN ST, NEENAH, WI 54956-2753
(920) 727-4220

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19430
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31232200
WI
Enumeration date
09/07/2005
Last updated
09/04/2008
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