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NPI Code Detail

MEDICARE: PAUL C STREIFF PA

MEDICARE: PAUL C STREIFF PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1607-023WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1005OTHERWIBCBS

General Provider Information

NPI Number : 1205884764
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL C STREIFF PA
Provider Business Mailing Address
First Line : FROEDTERT AND MCW FASTCARE-GREENFIELD
Second Line : 5800 WEST LAYTON AVE.
City : GREENFIELD
State : WI
Zip : 53220
Country : US
Telephone Number : 262-532-3067
Fax Number :
Provider Business Practice Location Address
First Line : FROEDTERT AND MCW FASTCARE-GREENFIELD
Second Line : 5800 WEST LAYTON AVE.
City : GREENFIELD
State : WI
Zip : 53220-4021
Country : US
Telephone Number : 262-532-3067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 01/27/2025

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Directions to “ PAUL C STREIFF PA” Practice Location

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