Provider Demographics
NPI:1710930466
Name:NORTH, PAULA E (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:E
Last Name:NORTH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:PEDIATRIC PATHOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-2526
Mailing Address - Fax:414-266-2779
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:PEDIATRIC PATHOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-2526
Practice Address - Fax:414-266-2779
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI48346207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1710930466Medicaid
WI34681400Medicaid
G06560Medicare UPIN
WI1710930466Medicaid