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NPI Code Detail

MEDICARE: DR. PAUL M. NEMOVITZ M.D.

MEDICARE:  DR. PAUL M. NEMOVITZ  M.D.
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
1207R00000XInternal Medicine Physician19208WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11000253OTHERPPIC PROVIDER #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871520890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL M. NEMOVITZ M.D.
Provider Business Mailing Address
First Line : 7780 ELMWOOD AVE
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7780 ELMWOOD AVE
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5407
Country : US
Telephone Number : 608-417-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 02/08/2013

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