PAUL VAN PERNIS

ASHLAND, WI
NPI1801814967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  21536-020)
Enumeration Date2006-07-17
Last Update Date2011-05-09
Business Address
-- PAUL VAN PERNIS
1625 MAPLE LN
ASHLAND, WI 54806-3768
Phone number: 715-685-7500
Mailing Address
-- PAUL VAN PERNIS
1625 MAPLE LN
ASHLAND, WI 54806-3768
Phone number: 715-685-7500
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