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Paul Mutch
Student in an Organized Health Care Education/Training Program in Fitchburg, Wisconsin
NPI 1639856156

Paul Mutch is a Student in an Organized Health Care Education/Training Program based in Fitchburg, WI. Paul Mutch practices in Fitchburg, WI. The NPI Number for Paul Mutch is 1639856156 and holds a License No. (Wisconsin).

The current practice location address for Paul Mutch is 2893 Bulwer Ln, Fitchburg, WI and can be reached out via phone at 608-513-7985.

Location: 2893 Bulwer Ln, Fitchburg, WI, 53711-9309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639856156
Provider Name
Paul Mutch
Credential
Provider Entity Type
Individual
Gender
Male
Address
2893 Bulwer Ln, Fitchburg, WI, 53711-9309
Phone Number
608-513-7985
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2893 Bulwer Ln
City
Fitchburg
State
Wisconsin
Zip
53711-9309
Phone Number
608-513-7985
Fax Number
person
Provider Business Mailing Address Details
Address
2893 Bulwer Ln
City
Fitchburg
State
Wisconsin
Zip
53711-9309
Phone Number
608-513-7985
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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