| Paul B Doenier Md, Sc | |
|
1111 Delafield St Ste 300 Waukesha WI 53188-3407 | |
| (262) 446-0955 | |
| (262) 446-0055 |
| Full Name | Paul B Doenier Md, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Delafield St Ste 300, Waukesha, Wisconsin |
| Authorized Official Name and Position | Paul B Doenier (PRESIDENT) |
| Authorized Official Contact | 2624460955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul B Doenier Md, Sc 1111 Delafield St Ste 300 Waukesha WI 53188-3407 Ph: (262) 446-0955 | Paul B Doenier Md, Sc 1111 Delafield St Ste 300 Waukesha WI 53188-3407 Ph: (262) 446-0955 |
| NPI Number | 1235672239 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 8426339276 |
|---|---|
| Medicare Enrollment ID | O20170110001350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235672239 | NPI | - | NPPES |
| K400354306 | Other | WI | INDIVIDUAL PTAN |
| K100354297 | Other | WI | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49232 (Wisconsin) | Primary |
| Provider Name | Paul B Doenier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720030489 PECOS PAC ID: 4789651191 Enrollment ID: I20060814000031 |
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