PAUL ANTONISSEN

DE PERE, WI
NPI1174096747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  8973-33)
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
PAUL ANTONISSEN APNP
3957 GARRETT ST
DE PERE, WI 54115-1655
Phone number: 920-471-3729
Mailing Address
PAUL ANTONISSEN APNP
3957 GARRETT ST
DE PERE, WI 54115-1655
Phone number: 920-471-3729
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