Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 23084 | WI |
N | 207RI0011X | Interventional Cardiology | 23084-020 | WI |
NPI | 1013980879 |
---|---|
Provider Name | Dr. Paul H Hinderaker |
First Address | Madison, WI 53715-1507 |
Second Address | Madison, WI 53713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 07/01/2021 |