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NPI Code Detail

MEDICARE: PAULA VANLAANEN MINIX

MEDICARE: PAULA VANLAANEN MINIX
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1356271589
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA VANLAANEN MINIX
Provider Business Mailing Address
First Line : 1451 CRESTWOOD DR
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : W220N6151 TOWN LINE RD
Second Line :
City : SUSSEX
State : WI
Zip : 53089-3923
Country : US
Telephone Number : 262-246-1973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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1932051588 — MRS. TRACY LYNN GORDON RN
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Directions to “ PAULA VANLAANEN MINIX ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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