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NPI Code Detail

MEDICARE: PAUL C BURNEY MD

MEDICARE: PAUL C BURNEY 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
12084P0800XPsychiatry Physician48820-020WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K400091681OTHERWIMEDICARE PTCAN
3K400091682OTHERWIMEDICARE PTCAN

Other Identifiers

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

General Provider Information

NPI Number : 1982674081
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL C BURNEY MD
Provider Business Mailing Address
First Line : 1095 MIDWAY RD
Second Line :
City : MENASHA
State : WI
Zip : 54952-1115
Country : US
Telephone Number : 920-720-3700
Fax Number : 920-720-3806
Provider Business Practice Location Address
First Line : 1095 MIDWAY RD
Second Line :
City : MENASHA
State : WI
Zip : 54952-1115
Country : US
Telephone Number : 920-720-2300
Fax Number : 920-720-3719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 11/20/2013

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Directions to “ PAUL C BURNEY MD” Practice Location

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