NPI 1326664376

Paul Richard Hyalnd, MS

Practitioner Contractor Fond Du Lac, WI

Practice location

Address: 17 Forest Ave STE 12, Fond Du Lac, WI 54935-4165
Phone: (866) 577-2263
Fax: (888) 647-7279

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 17155-62 (WI)

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Registry record

NPI: 1326664376
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2020
Record last updated: 9 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.