MEDICARE: PAUL E NORTON MD

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
1	208000000X	Pediatrics Physician	22479	WI
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	22479	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053305045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E NORTON MD

Provider Business Mailing Address
First Line	:	6791 N GREEN BAY AVE
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3422
Country	:	US
Telephone Number	:	414-228-4800
Fax Number	:	414-247-0894

Provider Business Practice Location Address
First Line	:	6791 N GREEN BAY AVE
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3422
Country	:	US
Telephone Number	:	414-228-4800
Fax Number	:	414-247-0894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	12/23/2011

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Directions to “ PAUL E NORTON MD” Practice Location

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