| Dr. Paula S. Crum, S.c. | |
|
2581 Development Dr Suite 204 Green Bay WI 54311-4247 | |
| (920) 347-2640 | |
| (920) 347-2641 |
| Full Name | Dr. Paula S. Crum, S.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2581 Development Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | Paula S. Crum (PRESIDENT) |
| Authorized Official Contact | 9203472640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Paula S. Crum, S.c. 2581 Development Dr Suite 204 Green Bay WI 54311-4247 Ph: (920) 347-2640 | Dr. Paula S. Crum, S.c. 2581 Development Dr Suite 204 Green Bay WI 54311-4247 Ph: (920) 347-2640 |
| NPI Number | 1710018882 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710018882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3119 (Wisconsin) | Primary |
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