Paul Van Pernis

NPI #1801814967 in Ashland, Wisconsin

Provider Information

NPI Number: 1801814967
Entity Type: Individual
Name: Paul Van Pernis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jul 17, 2006
Last Updated: May 9, 2011

Practice Location

Address: 1625 MAPLE LN
City: Ashland
State: Wisconsin
ZIP Code: 54806-3768
Phone: (715) 685-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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