Provider Demographics
NPI:1629175427
Name:PAULER, ALICJA MARTA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALICJA
Middle Name:MARTA
Last Name:PAULER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138
Mailing Address - Country:US
Mailing Address - Phone:641-842-3101
Mailing Address - Fax:641-828-5381
Practice Address - Street 1:1515 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138
Practice Address - Country:US
Practice Address - Phone:641-842-3101
Practice Address - Fax:641-828-5381
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1798301208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice