Provider Demographics
NPI:1861774838
Name:RESZEL, PAUL ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:RESZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 AUTUMN RUN
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-8884
Mailing Address - Country:US
Mailing Address - Phone:226-063-7105
Mailing Address - Fax:
Practice Address - Street 1:1618 AUTUMN RUN
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-8884
Practice Address - Country:US
Practice Address - Phone:226-063-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063269A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery