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NPI Code Detail

MEDICARE: DR. PAULA ELIZABETH PAPANEK PH.D, MPT, ATC, LAT

MEDICARE:  DR. PAULA ELIZABETH PAPANEK  PH.D, MPT, ATC, LAT
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
1225100000XPhysical Therapist6360024WI
22255A2300XAthletic Trainer517039WI

General Provider Information

NPI Number : 1023216454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA ELIZABETH PAPANEK PH.D, MPT, ATC, LAT
Provider Business Mailing Address
First Line : PO BOX 1881
Second Line :
City : MILWAUKEE
State : WI
Zip : 53201-1881
Country : US
Telephone Number : 414-288-5069
Fax Number : 414-288-6079
Provider Business Practice Location Address
First Line : 604 N 16TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2117
Country : US
Telephone Number : 414-288-5069
Fax Number : 414-288-6079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 09/11/2025

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Directions to “ DR. PAULA ELIZABETH PAPANEK PH.D, MPT, ATC, LAT” Practice Location

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