Provider Demographics
NPI:1730182809
Name:IPPEL, PAUL MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MARTIN
Last Name:IPPEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2449 COUNTY HIGHWAY I
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-4410
Mailing Address - Country:US
Mailing Address - Phone:715-723-9138
Mailing Address - Fax:715-723-8633
Practice Address - Street 1:2449 COUNTY HIGHWAY I
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-4410
Practice Address - Country:US
Practice Address - Phone:715-723-9138
Practice Address - Fax:715-723-8633
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI22405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30316500OtherWI RISK
WI4F962IPOtherBLUE CROSS MINNESOTA
WIW005284OtherCHAMPUS
WI3010016276OtherTRAVELERS RAILROAD
WI5111989OtherFIRST HEALTH
WIB53776OtherGROUP HEALTH
WIB53776OtherMA GROUP HEALTH
WI1035OtherGREATER MARSHFIELD PLAN
WI301811OtherCCN
WI30316500Medicaid
WI4F962IPOtherATRIUM SENIOR PLAN
WI4F962IPOtherATRIUM
WI01-19479OtherMEDICA
WI30316500OtherWI RISK