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Paul M Scholl

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NPI Number Detailed Information

Provider Information:

Name: Paul M Scholl
Gender: M
Provider License Number If Given: 5001832

NPI Information:

NPI: 1922001916
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 2544 N 91ST ST
Milwaukee, WI 53226
Phone Number: 4147748948
Fax Number:

Provider Business Practice Location Address:

Address: 9211 W AUER AVE
Milwaukee, WI 53222
Phone Number: 4144453670
Fax Number:

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any):
State: WI

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