Provider Demographics
NPI:1518959873
Name:WILHELM, PAUL G (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:G
Last Name:WILHELM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8020 E CENTRAL AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2382
Mailing Address - Country:US
Mailing Address - Phone:620-825-4131
Mailing Address - Fax:620-825-4667
Practice Address - Street 1:220 S 8TH ST
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:KS
Practice Address - Zip Code:67070-1631
Practice Address - Country:US
Practice Address - Phone:620-825-4121
Practice Address - Fax:620-825-4753
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS428409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H24049Medicare UPIN