MEDICARE: HENRY LAURIS PAULSON 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	2084N0400X	Neurology Physician	32013	IA
2	2084N0400X	Neurology Physician	4301091125	MI

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
2	40644	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1497748537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY LAURIS PAULSON MD

Provider Business Mailing Address
First Line	:	3621 S STATE ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-1633
Country	:	US
Telephone Number	:	734-647-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4260 PLYMOUTH RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-2700
Country	:	US
Telephone Number	:	734-764-6831
Fax Number	:

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	05/01/2019

Similar Medicare Providers

1699033548 — LORI BISHOP APNP
Practice Location Address:

4260 PLYMOUTH RD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6831
Practice Fax: 734-647-8535

1548261738 — EVAN SETH MORRISON M.D.
Practice Location Address:

4260 PLYMOUTH ROAD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6831
Practice Fax:

1255323747 — DR. SHENBAGAM DEWAR MD
Practice Location Address:

4260 PLYMOUTH RD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6831
Practice Fax:

1205820230 — BERNARD JOSEPH BIERMANN MD
Practice Location Address:

4250 PLYMOUTH RD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6443
Practice Fax:

1376539791 — KELVIN LIN-YU CHOU MD
Practice Location Address:

4260 PLYMOUTH RD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6831
Practice Fax:

1407838147 — DR. JAMES EDWARD SWAIN MD
Practice Location Address:

4250 PLYMOUTH RD
ANN ARBOR, MI
48109-2700

Practice Phone: 734-764-6443
Practice Fax:

Directions to “ HENRY LAURIS PAULSON MD” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.