Paul David Dimusto M.D.

NPI 1205954096 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205954096
Gender Male
Enumeration Date 03/27/2007
Last Updated 09/02/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
451 JUNCTION RD
MADISON WI, 53717-2656, US
Phone (608) 263-8915
Fax (608) 265-5755
Business Location
7974 UW HEALTH CT
MIDDLETON WI, 53562-5531, US
Phone (608) 829-5485
Fax
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 4301087567
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According to our database, Paul David Dimusto M.D. NPI is 1205954096, taxonomy code is 390200000X and license number is 4301087567, license state is located at Michigan. Paul David Dimusto M.D. physically located at 451 Junction Rd, Madison WI, 53717-2656. NPI Number Paul David Dimusto M.D. has the Individual type.

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1205954096 NPI number is provided on an as is basis without warranty of any kind. 1205954096 is maintained by the National Plan & Provider Enumeration System. The contents of Paul David Dimusto M.D. are for informational purposes only.